Comparing Postpartum Visit Attendance with a Scheduled 2- to 3-Week or 6-Week Visit after Delivery

Abstract

Objective To evaluate whether scheduling a 2- to 3-week versus 6-week postpartum visit results in higher visit attendance. Study Design We conducted a secondary analysis of a quasi-experimental before–after study to compare postpartum visit attendance after changing routine scheduling of visits from 6 weeks to 2 to 3 weeks after delivery. Secondary outcomes include patient satisfaction and breastfeeding continuation at 3 and 6 months postpartum. We collected postpartum visit information through a chart review and conducted telephonic interviews at 3 and 6 months postpartum to assess satisfaction with visit timing and breastfeeding status. We performed multivariable analyses to assess predictors of visit attendance. Results Women scheduled at 2 to 3 weeks postpartum demonstrated higher visit attendance (90.2%; 95% confidence interval [CI]: 86.6–93.9%) compared with 6 weeks (81.6%; 95% CI: 76.3–86.2%; p < 0.01). Predictors for visit attendance include postpartum visit timing, age, education, parity, prior miscarriage, and high-risk index pregnancy in multivariate analysis. Scheduling at 2 to 3 weeks postpartum increased visit completion in women who were younger and had lower educational attainment, high-risk index pregnancy, and no prior miscarriages. We found no differences in patient satisfaction or breastfeeding continuation at 3 and 6 months postpartum related to postpartum visit timing. Conclusion Scheduling a 2- to 3-week postpartum visit is associated with higher attendance.

Risk Factors Associated with Poor Adherence to Blood Pressure Monitoring in Postpartum Discharged Patients with Hypertensive Disorders of Pregnancy

“…Until now, only two studies studied the examined predictors of postpartum BP screening visit attendance within 7-10 days after delivery [30,33] , and various studies have identi ed predictors of 6-week postpartum visit attendance [18,[31][32][34][35][36][37][38][39][40][41] . The non-Hispanic Black identity was associated with a lower likelihood of BP screening attendance within 7-10 days of delivery [30] and females with gestational hypertension, with inadequate and intermediate prenatal care utilization, and those delivered vaginally were less likely to attend postpartum BP screening compared to females with preeclampsia with severe features, with adequate prenatal care utilization, and who had cesarean deliveries within 10 days of delivery [33] .…”

“…The non-Hispanic Black identity was associated with a lower likelihood of BP screening attendance within 7-10 days of delivery [30] and females with gestational hypertension, with inadequate and intermediate prenatal care utilization, and those delivered vaginally were less likely to attend postpartum BP screening compared to females with preeclampsia with severe features, with adequate prenatal care utilization, and who had cesarean deliveries within 10 days of delivery [33] . And it is widely recognized that postpartum visit attendance at 6 weeks is lowest among females who are non-Hispanic Black, of ethnic-minority groups, younger, multiparous, unmarried, lowincome, have inadequate prenatal care use, publicly insured or uninsured, and vaginal delivery [18,[31][32][34][35][36][37][38][39][40][41] . However, no report of the predictors of 12-week postpartum BP monitoring exists to date.…”

“…There are, however, a few limitations to this study: (1) Our study analyzed risk factors of poor adherence to BP monitoring within 3 months after discharge from the hospital in postpartum discharged HDP patients, but it is possible that not all impact factors were included, such as data on prenatal care utilization, which was unavailable and had been identi ed as predictors of 7-10 days and 6-week postpartum BP monitoring [18,[30][31][32][33][34][35][36][37][38][39][40][41] . (2) The entire data came from the perinatal medical database, which is representative of the Suzhou region, but the demographic diversity of our cohort was narrow.…”

Achieving Equity in Postpartum Contraception Access

“…Multiple factors contribute to loss of follow-up and include financial, cultural, logistical, and educational obstacles. Strategies to overcome these obstacles include scheduling the postpartum visit before discharge from the hospital, offering earlier postpartum visits and multiple visits,70 providing transportation and childcare benefits, and using patient navigators to address patients’ specific concerns 71. Patient navigators largely focus on logistical coordination, such as the arrangement of transportation and insurance coverage.…”

Prediktor Ketidakhadiran Ibu Pada Kunjungan Nifas Selama Pandemi Covid-19

“…Artinya adalah ibu nifas yang tidak mau ke fasilitas kesehatan saat pandemi Covid-19 berisiko 6,7 kali lebih besar tidak datang kunjungan nifas dibandingkan ibu yang mau ke fasilitas kesehatan selama pandemi Covid-19. Sama halnya dengan penelitian yang dilakukan di Amerika Serikat yang menggunakan data rumah sakit terhadap layanan pranatal dan pasca salin, dinilai lebih sedikit kemungkinan layanan pranatal dan pasca salin karena disebabkan kekhawatiran terkait Covid-19 (Attanasio et al 2022;Chen et al 2019;Facco and Himes 2021). Berdasarkan studi yang dilakukan di Kecamatan Baturraden, 87% ibu nifas mengalami kecemasan dengan tingkat kecemasaan adalah kategori ringan-sedang pada masa pandemi Covid-19 (Yuliani and Aini 2020).…”