Bridging the gap: socioeconomic inequalities and maternal-infant mortality in the Bronx
OA Version
Citation
Abstract
The Bronx has the highest rates of maternal and infant mortality among all the 5 boroughs in New York City, with large disparities due to socioeconomic factors, systemic inequities, and racial disparities in access to healthcare. This study specifically examines the Centering Pregnancy program—an evidence-based model of group prenatal care—to determine its potential in improving maternal and infant health outcomes in the Bronx.
OBJECTIVES: The three study objectives are to (1) determine the impact of Centering Pregnancy on maternal engagement, preterm birth rates, and general health outcomes from Centering Health Institute data (2) explore how systemic barriers such as transportation and language barriers might play a role in limiting the broader potential impact of the program in the Bronx; and (3) recommend this model of expansion in underserved communities with existing health disparities.
METHODS: A mixed-methods approach was followed, combining quantitative analysis of data from the Centers for Disease Control and Prevention and the New York City Department of Health and Mental Hygiene with the qualitative assessment of implementation of the Centering Pregnancy program. Data collection will include patient outcomes from participants in Centering Pregnancy, paired with interviews from healthcare providers and community members involved in the program from Centering Health Institute data. It will also include direct patient observation from current Centering Pregnancy in the Bronx.
RESULTS: Preliminary data suggest that Centering Pregnancy has been associated with greater maternal engagement and lower rates of preterm births for women in the program. More specifically, this effect has been most pronounced among Black and Latina populations.
DISCUSSION: This study concluded that the expansion of the Centering Pregnancy model can significantly improve maternal and infant health outcomes for the Bronx. Key recommendations for achieving these improvements include increased funding for Centering Pregnancy initiatives, the extension of Medicaid postpartum coverage, and the removal of other program access barriers, such as transportation and language services. Additionally, integrating Centering Pregnancy coverage into health insurance plans, ensuring that this model is accessible for all, could further enhance its impact. By addressing these social determinants of health, such interventions can reduce disparities and improve outcomes for vulnerable populations in the Bronx.
Description
2025
License
Attribution 4.0 International