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Lerner Center for Public Health Promotion and Population Health

Population Health Research Brief Series

ACA Medicaid Expansions Did Not Significantly Improve Maternal Morbidity

Pinka Chatterji, Hanna Glenn, Sara Markowitz, and Jennifer Karas Montez

August 2023

Abstract

Rising rates of severe maternal morbidity in the U.S. highlight the unmet need for continuous and comprehensive health care for women before, during, and after pregnancy. This data slice summarizes findings from a study that tested whether ACA Medicaid expansions helped reduce severe maternal morbidity, including transfusion, ruptured uterus, unplanned hysterectomy, eclampsia, and the need for intensive care. Results show little evidence that the ACA expansions improved maternal morbidity, other than reducing the need for blood transfusions. 

Lerner Center for Public Health Promotion and Population Health