Postpartum Visit Attendance Increases the Use of Modern Contraceptives
| Autor: | Rashel Charles, Susan Cha, Saba W. Masho, Nicole W. Karjane, Elizabeth A. McGee, Linda Hines, Susan G. Kornstein |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Postnatal Care medicine.medical_specialty Article Subject media_common.quotation_subject Population Fertility lcsh:Gynecology and obstetrics Young Adult 03 medical and health sciences 0302 clinical medicine Contraceptive Agents Pregnancy Residence Characteristics Health care medicine Humans 030212 general & internal medicine education lcsh:RG1-991 media_common Gynecology education.field_of_study 030219 obstetrics & reproductive medicine business.industry Virginia Attendance Pregnancy Unplanned Obstetrics and Gynecology Patient Acceptance of Health Care medicine.disease Family planning Family Planning Services Family medicine Educational Status Female business Developed country Unintended pregnancy Research Article Maternal Age |
| Zdroj: | Journal of Pregnancy, Vol 2016 (2016) Journal of Pregnancy |
| ISSN: | 2090-2735 2090-2727 |
| DOI: | 10.1155/2016/2058127 |
| Popis: | Background. Delays in postpartum contraceptive use may increase risk for unintended or rapid repeat pregnancies. The postpartum care visit (PPCV) is a good opportunity for women to discuss family planning options with their health care providers. This study examined the association between PPCV attendance and modern contraceptive use using data from a managed care organization. Methods. Claims and demographic and administrative data came from a nonprofit managed care organization in Virginia (2008–2012). Information on the most recent delivery for mothers with singleton births was analyzed (N = 24,619). Routine PPCV (yes, no) and modern contraceptive use were both dichotomized. Descriptive analyses provided percentages, frequencies, and means. Multiple logistic regression was conducted and ORs and 95% CIs were calculated. Results. More than half of the women did not attend their PPCV (50.8%) and 86.9% had no modern contraceptive use. After controlling for the effects of confounders, women with PPCV were 50% more likely to use modern contraceptive methods than women with no PPCV (OR = 1.50, 95% CI = 1.31, 1.72). Conclusions. These findings highlight the importance of PPCV in improving modern contraceptive use and guide health care policy in the effort of reducing unintended pregnancy rates. |
| Databáze: | OpenAIRE |
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