Clinical and Demographic Characteristics of Patient-Initiated Encounters Before the 6-Week Postpartum Visit.

Autor: Falde DL; Department of Obstetrics and Gynecology, Olmsted Medical Center, Rochester, MN, USA., Dyre LJ; Mayo Clinic Alix School of Medicine - Arizona campus, Mayo Clinic College of Medicine and Science, Scottsdale, AZ, USA., Mehta RA; Division of Clinical Trials and Biostatistics and Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Branda ME; Division of Clinical Trials and Biostatistics and Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Butler Tobah YS; Division of Clinical Trials and Biostatistics and Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Theiler RN; Division of Clinical Trials and Biostatistics and Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA., Rivera-Chiauzzi EY; Division of Clinical Trials and Biostatistics and Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. rivera-chiauzzi.enid@mayo.edu.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2024 Sep; Vol. 28 (9), pp. 1530-1538. Date of Electronic Publication: 2024 Jun 01.
DOI: 10.1007/s10995-024-03933-3
Abstrakt: Objective: To identify characteristics associated with a higher likelihood of patient-initiated encounters with a health care professional before the scheduled 6-week postpartum visit.
Methods: We performed a retrospective cohort study of postpartum persons who received prenatal care and delivered at a single academic level IV maternity care center in 2019. We determined associations between maternal sociodemographic and obstetric characteristics and the likelihood of patient-initiated early postpartum encounters with χ 2 tests for categorical variables and Wilcoxon rank sum tests for continuous and ordinal variables.
Results: A total of 796 patients were included in our analysis, and 324 (40.7%) initiated an early postpartum encounter. Significantly more postpartum persons who initiated early postpartum encounters were primiparous persons (54.3%) than multiparous (33.8%) persons (P < .001). Postpartum persons who desired breastfeeding or who had prolonged maternal hospitalization, episiotomy, or cesarean or operative vaginal delivery were also significantly more likely to initiate early postpartum encounters (all P≤.002). Of postpartum persons who initiated early encounters, 44 (13.6%) initiated in-person visits, 138 (42.6%) initiated telephone or patient portal communication, and 142 (43.8%) initiated encounters of both types. Specifically, 39.2% of postpartum persons initiated at least one early postpartum encounter for lactation support, and nearly half of early postpartum encounters occurred during the first week after hospital discharge.
Conclusion: Early postpartum encounters were more common among primiparas and postpartum persons who were breastfeeding or had prolonged hospitalization, episiotomy, cesarean delivery, or operative vaginal delivery. Future studies should focus on the development of evidence-based guidelines for recommending early postpartum visits.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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