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Perinatal Health and Medicaid
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Perinatal Health and Medicaid

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​Multiple studies indicate that early elective deliveries carry significant increased maternal and fetal risks. Early elective deliveries include both inductions of labor and cesarean sections before 39 weeks gestational age without medical indication. 

Medicaid, as the dominant payer for births across the country, holds powerful levers for policy change. As part of the Medicaid Medical Directors (MMD) Perinatal Care Project, MMDs are working with state public health and vital statistics departments to coordinate perinatal quality improvement efforts, specifically on early elective delivery rates for the Medicaid population.

To better understand the extent of early elective deliveries within the Medicaid population and create a baseline for assessing the impact of policy change, the Project collected Medicaid delivery data from 22 states. Aggregated state data, representing over 830,000 singleton births in Medicaid, are reported in this portal through a series of tables and charts.

You can fast-track your understanding of perinatal data among Medicaid populations by:


This project was supported by the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, and the Health Resources and Services Administration, including the Maternal and Child Health Bureau. Medicaid Medical Directors also worked collaboratively with the National Association of Medicaid Directors, the Association of State and Territorial Health officials, and the National Association of Maternal and Child Health Programs, the Secretary’s Advisory Committee on Infant Mortality, and the Child and Adolescent Health Measurement Initiative.

Highlighted Data & Resources

This is a retrospective cohort study designed to analyze neonatal mortality and morbidity rates at 34, 35, and 36 weeks of gestation compared with births at term over the past 18 years at the authors' hospital and to estimate the magnitude of increased risk associated with late preterm births compared with births later in gestation.
In this study, researchers linked compulsory national registries in Norway to identify children of different gestational-age categories who were born between 1967 and 1983 and to follow them through 2003 in order to document medical disabilities and outcomes reflecting social performance.
Researchers sought to evaluate number and timing of elective cesarean sections at term and to assess perinatal outcome associated with this timing by conducting a retrospective cohort study including all elective cesarean sections of singleton pregnancies at term (n = 20,973) with neonatal follow-up. Primary outcome was defined as a composite of neonatal mortality and morbidity.

Data In Action! Perinatal Health and Medicaid