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State-level variation in severe maternal morbidity, 2019-2023

Award Number: R01HD116812
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/01/2025
PERIOD OF PERFORMANCE END DATE: 02/28/2029

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State-level variation in severe maternal morbidity, 2019-2023 - PROJECT SUMMARY In 2022 fourteen states implemented abortion bans without exceptions, after which abortion became extremely rare in states with a ban. Researchers have hypothesized that these restrictions may have adversely affected maternal health because childbirth is associated with greater risk than abortion, and because some patients with life-threatening pregnancies have reported being delayed or denied abortion care. However, little evidence exists on the impact of abortion restrictions on maternal health. This research aims to examine evidence on the impact of abortion restrictions on severe maternal morbidity (SMM), defined as significant short- or long-term consequences to a pregnant woman’s health, and the extent to which changes in state restrictions have affected existing maternal health differences between groups. The project will create a comprehensive dataset using hospitalization records from 42 U.S. states (2019-2023) that includes inpatient healthcare, health outcomes, and state abortion policies. Using state of the art design and methods we will compare changes in SMM in states with and without abortion bans. We will then examine the change in state-level hospitalizations that include SMM focusing specifically on state-level hospitalizations in which the patient had a life-threatening obstetric condition and experienced SMM. This project will have the following three Aims: • Aim 1. Generate a novel dataset using hospitalization records from 42 U.S. states and Washington DC (2019-2023) that includes inpatient healthcare and health outcomes alongside state abortion restrictions. • Aim 2. Examine the impact of changes in state restrictions on incidence in pregnancy hospitalizations with SMM. • Aim 3. Examine the impact of changes in state restrictions on incidence of SMM among hospitalized patients with a subset of life-threatening pregnancy conditions. This project will generate a population-level estimate of whether and how state restrictions have affected maternal health to inform state and federal policies and to safeguard health during pregnancy.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $291,388 )
2026	2026	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BUILDING	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Child Health and Human Development Extramural Research	000	2	3/5/2026	NON-COMPETING CONTINUATION	$291,388
														Subtotal = $291,388

Issue Date FY: 2025 ( Subtotal = $686,049 )
2025	2025	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BUILDING	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Child Health and Human Development Extramural Research	000	1	4/23/2025	NEW	$686,049
														Subtotal = $686,049

Grand Total All Awards = $977,437

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State-level variation in severe maternal morbidity, 2019-2023

Award Number: R01HD116812

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/01/2025

PERIOD OF PERFORMANCE END DATE: 02/28/2029

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