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    Characteristics of women without a postpartum checkup among PRAMS participants, 2009-2011

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    Authors
    Danilack, Valery A.
    Brousseau, E Christine
    Paulo, Briana A.
    Matteson, Kristen A.
    Clark, Melissa A.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-07-01
    Keywords
    Clinic visit
    Obstetrics
    PRAMS
    United States Centers for Disease Control Pregnancy Risk Assessment Monitoring System
    Postpartum
    Surveys
    Epidemiology
    Health Services Administration
    Health Services Research
    Maternal and Child Health
    Obstetrics and Gynecology
    Women's Health
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    Link to Full Text
    https://doi.org/10.1007/s10995-018-02716-x
    Abstract
    Introduction: For uncomplicated pregnancies in the United States, a healthcare visit 4 to 6 weeks postpartum is recommended to assess a woman's mental, social, and physical health. We studied whether sociodemographic characteristics and pregnancy and delivery factors were related to the likelihood of missing a postpartum checkup. Methods: We conducted a cross-sectional analysis of 64,952 women who completed the United States Centers for Disease Control Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 6 survey in 2009-2011 from 17 states and New York City that included a Yes/No question about receiving a maternal postpartum checkup. We calculated risk ratios (RR) with 95% confidence intervals (CI) to assess the association between maternal factors and lack of a postpartum checkup. Results: Compared to women who attended a postpartum checkup (89.4%), women who missed the visit (10.6%) were younger, unmarried, less educated, with lower income, without insurance, and smokers (all p < 0.05). Compared to women with adequate prenatal care, women with intermediate (RR 1.79 (95% CI 1.70-1.88)) or inadequate (RR 2.71 (95% CI 2.53-2.91)) care were more likely to miss the checkup. Women were more likely to miss this checkup if their infant was born at a residence compared to a hospital (RR 2.27 (95% CI 1.71-3.01)), and were less likely to miss the checkup if their newborn had a 1-week well visit (RR 0.70 (95% CI 0.61-0.81)). Discussion: Sociodemographic factors and noncompliance with other medical care were associated with missing a postpartum checkup. Women with a high-risk of not attending a postpartum visit should be targeted for interventions to increase their accessibility to care.
    Source

    Matern Child Health J. 2019 Jul;23(7):903-909. doi: 10.1007/s10995-018-02716-x. Link to article on publisher's site

    DOI
    10.1007/s10995-018-02716-x
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46807
    PubMed ID
    30631991
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1007/s10995-018-02716-x
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    Population and Quantitative Health Sciences Publications

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