Understanding Factors Associated with Postpartum Visit Attendance and Contraception Choices: Listening to Low-Income Postpartum Women and Health Care Providers

Author:

Henderson VidaORCID,Stumbras Katrina,Caskey Rachel,Haider Sadia,Rankin Kristin,Handler Arden

Abstract

Abstract Background While there is considerable variability with respect to attendance at the postpartum visit, not much is known about women’s preferences with respect to postpartum care. Likewise, there is also limited information on providers’ practices regarding the postpartum visit and care including the delivery of contraception. To understand and address deficits in the delivery and utilization of postpartum care, we examined the perceptions of low-income postpartum women with respect to barriers to and preferences for the timing and location of the postpartum visit and receipt of contraception. We also examined providers’ current prenatal and postnatal care practices for promoting the use of postpartum care and their attitudes toward alternative approaches for delivering contraceptive services in the postpartum period. Methods Qualitative face-to-face interviews were completed with 20 postpartum women and in-depth qualitative phone interviews were completed with 12 health care providers who had regular contact with postpartum women. Interviews were coded using Atlas.ti software and themes were identified. Results Women believed that receiving care during the postpartum period was an important resource for monitoring physical and mental health and also strongly supported the provision of contraception earlier than the 6-week postpartum visit. Providers reported barriers to women’s use of postpartum care on the patient, provider, and system levels. However, providers were receptive to exploring new clinical practices that may widen the reach of postpartum care and increase access to postpartum contraception. Conclusion Approaches that increase the flexibility and convenience of postpartum care and the delivery of postpartum contraception may increase the likelihood that women will take advantage of essential postpartum services.

Funder

Centers for Medicare and Medicaid Services

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health,Epidemiology

Reference47 articles.

1. Albers, L. L. (2000). Health problems after childbirth. Journal of Midwifery & Women’s Health, 45(1), 55–57.

2. Apgar, B. S., Serlin, D., & Kaufman, A. (2005). The postpartum visit: Is six weeks too late? American Family Physician, 72(12), 2443–2444.

3. Cheng, C., Fowles, E., & Walker, L. (2006). Postpartum maternal health care in the United States: A critical review. Journal of Perinatal Education, 15(3), 34–42.

4. Chu, S., Callaghan, W., & Shapiro-Mendoza, C. (2007). Postpartum care visits–11 States and New York City, 2004. MMWR. Morbidity and Mortality Weekly Report, 56(50), 1312–1316.

5. Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2014). Major survey findings of listening to MothersSM III: New mothers speak out. The Journal of Perinatal Education, 23(1), 17–24.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3