September 17, 2026 · American journal of perinatology · DOI: 10.1055/a-2954-5263

Perinatal Risk and Outcomes Among Individuals Insured by Medicare

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The authors aimed to compare medical comorbidities and perinatal outcomes between Medicare-insured and non-Medicare-insured obstetric patients, given the higher chronic disease burden among the former. Their analysis revealed that pregnant Medicare beneficiaries had significantly worse maternal and perinatal outcomes, including higher rates of severe maternal morbidity, cesarean delivery, and preterm birth, as well as notable racial disparities. These findings underscore the need for targeted support for this vulnerable population.

Osinakachukwu Mbata, Ayodamope Fawole, Armand Zimmerman, Muskaan Toshniwal, Evan Myers, Maria Small, Osondu Ogbuoji

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