Postpartum Care Utilization Among Women with Medicaid-Funded Live Births in Oregon.
Introduction: Postpartum care is an important strategy for preventing and managing chronic disease in women with pregnancy complications (i.e., gestational diabetes (GDM) and hypertensive disorders of pregnancy (HDP)). Methods: Using a population-based, cohort study among Oregon women with Medicaid-...
| Publicado en: | Maternal & Child Health Journal Vol. 25; no. 7; pp. 1164 - 1174 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150748571&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150748571 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jul2021 vid: 25 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 150748571 150075102 150748571 150748571 10.1007/s10995-021-03128-0 150748571 ppf: 1164 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Postpartum Care Utilization Among Women with Medicaid-Funded Live Births in Oregon. aug: au: Robbins, Cheryl L. Deputy, Nicholas P. Patel, Roshni Tong, Van T. Oakley, Lisa P. Yoon, Jangho Bui, Linh N. Luck, Jeff Harvey, S. Marie affil: Division of Reproductive Health, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health, Atlanta, USA sug: subj: Postnatal Care Utilization Medicaid Pregnancy Outcomes Oregon Insurance Coverage Diabetes Mellitus, Gestational Hypertension In Pregnancy Human Pregnancy Female Oregon Prospective Studies Descriptive Statistics Odds Ratio Confidence Intervals Risk Assessment Funding Source Female ab: Introduction: Postpartum care is an important strategy for preventing and managing chronic disease in women with pregnancy complications (i.e., gestational diabetes (GDM) and hypertensive disorders of pregnancy (HDP)). Methods: Using a population-based, cohort study among Oregon women with Medicaid-financed deliveries (2009–2012), we examined Medicaid-financed postpartum care (postpartum visits, contraceptive services, and routine preventive health services) among women who retained Medicaid coverage for at least 90 days after delivery (n = 74,933). We estimated postpartum care overall and among women with and without GDM and/or HDP using two different definitions: 1) excluding care provided on the day of delivery, and 2) including care on the day of delivery. Pearson chi-square tests were used to assess differential distributions in postpartum care by pregnancy complications (p <.05), and generalized estimating equations were used to calculate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: Of Oregon women who retained coverage through 90 days after delivery, 56.6–78.1% (based on the two definitions) received any postpartum care, including postpartum visits (26.5%-71.8%), contraceptive services (30.7–35.6%), or other routine preventive health services (38.5–39.1%). Excluding day of delivery services, the odds of receiving any postpartum care (aOR 1.26, 95% CI 1.08–1.47) or routine preventive services (aOR 1.32, 95% CI 1.14–1.53) were meaningfully higher among women with GDM and HDP (reference = neither). Discussion: Medicaid-financed postpartum care in Oregon was underutilized, it varied by pregnancy complications, and needs improvement. Postpartum care is important for all women and especially those with GDM or HDP, who may require chronic disease risk assessment, management, and referrals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|