Methods: This study uses data from the Postpartum Assessment of Health Survey (PAHS), administered one year after birth in six geographically diverse states (Kansas, New Jersey, Michigan, Pennsylvania, Utah, Virginia) and New York City to examine rates and types of family leave-taking, paid and unpaid, among respondents who gave birth in 2020 (n=4,694). New Jersey, Virginia, and NYC are jurisdictions that have implemented some version of PFML. Using linear regression models, analyses focused on respondents employed during pregnancy (n=2,857). Models control for demographic and birth characteristics and explores differences in leave composition by state-policy availability to understand the association between state PFML policies and leave use.
Results: Overall, 86.5% of working respondents reported taking some kind of family leave and 63.6% reported taking at least some paid leave. Respondents took an average of 15.24 weeks of family leave: 6.84 weeks were paid, while 12.19 weeks were unpaid. Living in a state with a PFML policy is significantly associated with longer lengths of leave: respondents in PFML states took almost 3 weeks more leave on average than those who lived in comparison states (p<0.00). Living in a PFML state is also significantly associated with the length of paid leave a postpartum person takes: respondents who lived in a PFML state took more weeks of paid leave compared to those living in a state without PFML (7.52 paid weeks vs. 6.16; p<0.00).
Conclusions: Understanding the composition of leave – paid and unpaid – supports policymakers and advocates as legislators consider state and federal PFML policies by providing evidence about leave uptake, length, and income replacement among postpartum people. Further, our findings identify challenges to economic security faced by workers who rely on unpaid leave following birth.