Postpartum Visit Attendance Increases the Use of Modern Contraceptives
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 atte...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2016/2058127 |
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| author | Saba W. Masho Susan Cha RaShel Charles Elizabeth McGee Nicole Karjane Linda Hines Susan G. Kornstein |
| author_facet | Saba W. Masho Susan Cha RaShel Charles Elizabeth McGee Nicole Karjane Linda Hines Susan G. Kornstein |
| author_sort | Saba W. Masho |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-04d9d015e43f45d2adc055ff6d60008f |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-04d9d015e43f45d2adc055ff6d60008f2025-02-03T01:09:57ZengWileyJournal of Pregnancy2090-27272090-27352016-01-01201610.1155/2016/20581272058127Postpartum Visit Attendance Increases the Use of Modern ContraceptivesSaba W. Masho0Susan Cha1RaShel Charles2Elizabeth McGee3Nicole Karjane4Linda Hines5Susan G. Kornstein6Virginia Commonwealth University Institute of Women’s Health, P.O. Box 980319, Richmond, VA 23298, USADivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 E. Main Street, P.O. Box 980212, Richmond, VA 23298, USAVirginia Commonwealth University Institute of Women’s Health, P.O. Box 980319, Richmond, VA 23298, USADivision of Reproductive Endocrinology & Infertility, Department of Obstetrics, Gynecology and Reproductive Sciences, The University of Vermont College of Medicine, Smith 410, Main Campus, 111 Colchester Avenue, Burlington, VT 05401, USADepartment of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, P.O. Box 980034, Richmond, VA 23298, USAVirginia Premier Health Plan, Inc., 600 E. Broad Street, 4th Floor, Suite 400, Richmond, VA 23219, USAVirginia Commonwealth University Institute of Women’s Health, P.O. Box 980319, Richmond, VA 23298, USABackground. 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.http://dx.doi.org/10.1155/2016/2058127 |
| spellingShingle | Saba W. Masho Susan Cha RaShel Charles Elizabeth McGee Nicole Karjane Linda Hines Susan G. Kornstein Postpartum Visit Attendance Increases the Use of Modern Contraceptives Journal of Pregnancy |
| title | Postpartum Visit Attendance Increases the Use of Modern Contraceptives |
| title_full | Postpartum Visit Attendance Increases the Use of Modern Contraceptives |
| title_fullStr | Postpartum Visit Attendance Increases the Use of Modern Contraceptives |
| title_full_unstemmed | Postpartum Visit Attendance Increases the Use of Modern Contraceptives |
| title_short | Postpartum Visit Attendance Increases the Use of Modern Contraceptives |
| title_sort | postpartum visit attendance increases the use of modern contraceptives |
| url | http://dx.doi.org/10.1155/2016/2058127 |
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