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Intrapartum Care Experiences Associated With Postpartum Visit Attendance
Fiona Weeks1,2, Rebecca Myerson1, Ronald Gangnon1,3
1Department of Population Health Sciences, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Birth (Berkeley, Calif.)
|March 11, 2025
Summary
Poor communication during childbirth increases the likelihood of skipping postpartum visits. Improving intrapartum care experiences can enhance postpartum healthcare engagement and long-term maternal health.
Area of Science:
- Maternal Health
- Healthcare Disparities
- Obstetric Care
Background:
- Postpartum visits are crucial for preventing maternal morbidity and mortality.
- Approximately 10% of birthing individuals miss their postpartum appointments.
- Intrapartum care experiences are an understudied factor influencing postpartum healthcare engagement.
Purpose of the Study:
- To investigate the association between intrapartum care experiences and postpartum visit attendance.
- To identify specific aspects of intrapartum care that may impact postpartum healthcare engagement.
Main Methods:
- Analysis of a novel survey supplement on intrapartum care experiences.
- Data collected from a probability-based population sample of recent birthing individuals via the Wisconsin Pregnancy Risk Assessment Monitoring System.
Main Results:
- Lower provider responsiveness during intrapartum care was significantly associated with increased odds of forgoing the postpartum visit (aOR 1.4, 95% CI 1.0-2.0).
- This association remained significant after adjusting for individual characteristics and birth hospital clustering.
Conclusions:
- The quality of intrapartum care influences birthing individuals' perceptions of healthcare providers.
- Positive intrapartum care experiences may improve willingness to attend future postpartum visits.
- Improving intrapartum care experiences presents an opportunity to enhance long-term maternal health utilization.
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