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.' affiliation: 'Jou, J (Corresponding Author), Univ Minnesota, Div Hlth Policy \& Management, Sch Publ Hlth, 420 Delaware St SE,MMC 729, Minneapolis, MN 55455 USA. Jou, Judy; Kozhimannil, Katy B.; Abraham, Jean M.; Blewett, Lynn A., Univ Minnesota, Div Hlth Policy \& Management, Sch Publ Hlth, 420 Delaware St SE,MMC 729, Minneapolis, MN 55455 USA. McGovern, Patricia M., Univ Minnesota, Sch Publ Hlth, Div Environm Hlth Sci, Minneapolis, MN USA.' author: Jou, Judy and Kozhimannil, Katy B. and Abraham, Jean M. and Blewett, Lynn A. and McGovern, Patricia M. author-email: jouxx008@umn.edu author_list: - family: Jou given: Judy - family: Kozhimannil given: Katy B. - family: Abraham given: Jean M. - family: Blewett given: Lynn A. - family: McGovern given: Patricia M. da: '2023-09-28' doi: 10.1007/s10995-017-2393-x eissn: 1573-6628 files: [] issn: 1092-7875 journal: MATERNAL AND CHILD HEALTH JOURNAL keywords: 'Maternity leave; Family and Medical Leave Act; Maternal health; Infant health; Health behavior' keywords-plus: 'WORK-FAMILY POLICIES; PHYSICAL HEALTH; CHILD HEALTH; EMPLOYMENT; MOTHERS; OUTCOMES; COUNTRIES; DURATION; PRETERM; QUALITY' language: English month: FEB number: '2' number-of-cited-references: '39' orcid-numbers: Jou, Judy/0000-0003-2446-1744 pages: 216-225 papis_id: 4dc636751cc488c0f252f3d0eba13ad1 ref: Jou2018paidmaternity times-cited: '76' title: 'Paid Maternity Leave in the United States: Associations with Maternal and Infant Health' type: Article unique-id: WOS:000424701900008 usage-count-last-180-days: '1' usage-count-since-2013: '35' volume: '22' web-of-science-categories: Public, Environmental \& Occupational Health year: '2018'