Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 22 (2), 216-225

Paid Maternity Leave in the United States: Associations With Maternal and Infant Health

Affiliations

Paid Maternity Leave in the United States: Associations With Maternal and Infant Health

Judy Jou et al. Matern Child Health J.

Abstract

Objectives The United States is one of only three countries worldwide with no national policy guaranteeing paid leave to employed women who give birth. While maternity leave has been linked to improved maternal and child outcomes in international contexts, up-to-date research evidence in the U.S. context is needed to inform current policy debates on paid family leave. Methods Using data from Listening to Mothers III, a national survey of women ages 18-45 who gave birth in 2011-2012, we conducted multivariate logistic regression to predict the likelihood of outcomes related to infant health, maternal physical and mental health, and maternal health behaviors by the use and duration of paid maternity leave. Results Use of paid and unpaid leave varied significantly by race/ethnicity and household income. Women who took paid maternity leave experienced a 47% decrease in the odds of re-hospitalizing their infants (95% CI 0.3, 1.0) and a 51% decrease in the odds of being re-hospitalized themselves (95% CI 0.3, 0.9) at 21 months postpartum, compared to women taking unpaid or no leave. They also had 1.8 times the odds of doing well with exercise (95% CI 1.1, 3.0) and stress management (95% CI 1.1, 2.8), compared to women taking only unpaid leave. Conclusions for Practice Paid maternity leave significantly predicts lower odds of maternal and infant re-hospitalization and higher odds of doing well with exercise and stress management. Policies aimed at expanding access to paid maternity and family leave may contribute toward reducing socio-demographic disparities in paid leave use and its associated health benefits.

Keywords: Family and Medical Leave Act; Health behavior; Infant health; Maternal health; Maternity leave.

Similar articles

See all similar articles

Cited by 1 PubMed Central articles

References

    1. J Ment Health Policy Econ. 2012 Jun;15(2):61-76 - PubMed
    1. Pediatrics. 2007 Jul;120(1):e1-9 - PubMed
    1. Dev Psychol. 2005 Nov;41(6):833-50 - PubMed
    1. Obstet Gynecol. 2007 Mar;109(3):669-77 - PubMed
    1. Women Health. 2006;43(2):51-72 - PubMed

Publication types

MeSH terms

LinkOut - more resources

Feedback