title: Postpartum Visit Attendance Increases the Use of Modern Contraceptives.
abstract: 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.
authors.affiliation: Virginia Commonwealth University Institute of Women's Health, P.O. Box 980319, Richmond, VA 23298, USA; Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 E. Main Street, P.O. Box 980212, Richmond, VA 23298, USA; Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, P.O. Box 980034, Richmond, VA 23298, USA.
authors.forename: Saba W
authors.identifier: 0000-0002-6731-1802
authors.initials: SW
authors.lastname: Masho
authors.affiliation: Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 E. Main Street, P.O. Box 980212, Richmond, VA 23298, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Cha
authors.affiliation: Virginia Commonwealth University Institute of Women's Health, P.O. Box 980319, Richmond, VA 23298, USA.
authors.forename: RaShel
authors.initials: R
authors.lastname: Charles
authors.affiliation: Division 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, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: McGee
authors.affiliation: Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, P.O. Box 980034, Richmond, VA 23298, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Karjane
authors.affiliation: Virginia Premier Health Plan, Inc., 600 E. Broad Street, 4th Floor, Suite 400, Richmond, VA 23219, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Hines
authors.affiliation: Virginia Commonwealth University Institute of Women's Health, P.O. Box 980319, Richmond, VA 23298, USA; Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, P.O. Box 980034, Richmond, VA 23298, USA; Department of Psychiatry, Virginia Commonwealth University School of Medicine, 1200 E. Broad Street, P.O. Box 980710, Richmond, VA 23298, USA.
authors.forename: Susan G
authors.initials: SG
authors.lastname: Kornstein
mesh_terms: D000328:Adult; D003270:Contraceptive Agents; D004522:Educational Status; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008423:Maternal Age; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011181:Postnatal Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012111:Residence Characteristics; D014768:Virginia; D055815:Young Adult
chemical_list: D003270:Contraceptive Agents