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Enabling Factors Associated with Receipt of Interconception Health Care.

Emily F Gregory1,2, Krishna K Upadhya3, Tina L Cheng4

  • 1Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. gregorye@email.chop.edu.

Maternal and Child Health Journal
|December 16, 2019
PubMed
Summary

Ensuring women have a personal doctor and non-Medicaid insurance increases the likelihood of receiving recommended interconception care after childbirth. This supports better maternal health between pregnancies.

Keywords:
Health systemsInterconception carePreconception carePreventive health careQuality of care

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Area of Science:

  • Reproductive Health
  • Health Services Research
  • Maternal Health

Background:

  • Preventive health care between pregnancies (interconception care) is crucial for future pregnancy outcomes and long-term maternal health.
  • However, the receipt of interconception care is often incomplete, highlighting a gap in women's health services.

Purpose of the Study:

  • To identify factors associated with the receipt of interconception care among women postpartum.
  • Utilized Andersen's Model of Health Services Use to guide the investigation of these factors.

Main Methods:

  • Secondary analysis of data from a trial involving women in the Baltimore metropolitan area.
  • Collected data on health history, demographics, predisposing factors (e.g., depression, stress), and enabling factors (e.g., usual source of care, insurance) up to 15 months postpartum.
  • Relative risk regression was employed to model the relationship between identified factors and the completion of a postpartum visit and one subsequent healthcare visit.

Main Results:

  • The study included 376 women, with 60% completing both recommended visits.
  • Predominantly non-Hispanic Black (84%) and low-income (50% < $20,000/year) population.
  • Having a personal doctor or nurse (RR 1.38) and non-Medicaid insurance (RR 1.64) were significantly associated with increased receipt of interconception care.

Conclusions:

  • Enabling factors, specifically having a consistent healthcare provider and non-Medicaid insurance, are linked to receiving recommended postpartum and interconception care.
  • These modifiable factors represent potential targets for interventions aimed at improving women's health during the critical period between pregnancies.