Using propensity score reweighting, we estimate the effect of FHBC care relative to usual care on maternal and infant outcomes for the FHBC group versus a usual care group with nearly identical observed characteristics, and we report the results in Table 2.
Receiving prenatal care at the FHBC is associated with fewer obstetrical interventions.
The FHBC group is significantly more likely to deliver on a weekend (28.6 percent vs.
There are significantly fewer preterm births in the FHBC group (7.9 percent vs.
The FHBC sample has an 11.7 percentage point higher likelihood of delivering on the weekend according to the IV analysis, compared to a 4.8 percentage point difference in the propensity score analysis; again in both cases, the differences are statistically significant.
As noted earlier, the FHBC model is designed to support the care of low-income African American women, a group that experiences poor birth outcomes beyond what can be explained by prenatal care, insurance status, or other medical risk factors.
African American women who receive care from FHBC midwives are significantly less likely to have a C-section than African American women who receive usual care (20.9 percent vs.
African American women in the FHBC group are less likely to have preterm babies than those in the usual care group (8.6 percent vs.
In particular, lower incidence of C-section, higher likelihood of VBAC, and increases in gestational age among the FHBC group are important cost-saving and health-promoting outcomes.