Inequities in maternal health in the United States are a national crisis. Despite half of the maternal deaths occurring up to one year postpartum, we lack foundational knowledge on the drivers of postpartum morbidity beyond the first six weeks, often referred to as the "traditional" postpartum period. Utilizing the Oregon All Payer All Claims database, we followed birthing people up to twelve months postpartum to examine how clinical factors, health insurance, and health care financial burden impact postpartum morbidity and care-seeking.