艾玛女王诊所产后随访倡议前后的产后随访率。

Postpartum follow-up rates before and after the postpartum follow-up initiative at Queen Emma Clinic.

作者信息

Tsai Pai-Jong Stacy, Nakashima Laurie, Yamamoto Jan, Ngo Lynn, Kaneshiro Bliss

机构信息

University of Hawaii, Department of Obstetrics, Gynecology & Women's Health, Honolulu, Hawaii 96826, USA.

出版信息

Hawaii Med J. 2011 Mar;70(3):56-9.

PMID:21365543

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3071902/

Abstract

OBJECTIVE

To study postpartum follow-up rates, as well as counseling opportunities, among Queen Emma Clinic patients before and after the implementation of the Queen Emma Clinic Postpartum Follow-up Initiative.

METHODS

This was a retrospective chart review of 221 women who received prenatal care at the Queen Emma Clinic and gave birth between April 2006 and April 2008. In April 2007 the postpartum initiative was started. The primary outcome was the number of postpartum follow-up visits. Secondary outcomes included breastfeeding, contraceptive use, depression screening and referral, follow-up screening for patien ts with gestational diabetes and subsequent pregnancy.

RESULTS

Postpartum follow-up rates were significantly higher after the Postpartum Follow-up Initiative (86.1% compared with 71.7%, P =.012). When comparing timing of follow-up, the first postpartum visit occurred approximately one week sooner in the post intervention group (2.96 weeks compared with 3.73 weeks, P=0.38) with no difference in timing of the second postpartum visit (6.62 weeks compared with 6.42 weeks, P=.72). In the post intervention group there were more patients breastfeeding at the first postpartum visit (28.7% compared with 16%, P=.015), as well as the second postpartum visit (28.7% compared with 12.3%, P=0.01). There were also more women using contraception in the post intervention group (84.3% compared with 71.7%, P=.009). There was no difference in depression screening or referral, follow-up screening for gestational diabetes, or timing of subsequent pregnancies.

CONCLUSION

The Postpartum Follow-Up Initiative improved postpartum follow-up rates, as well as breastfeeding, and contraceptive use.

摘要

目的

研究爱玛女王诊所产后随访倡议实施前后，该诊所患者的产后随访率及咨询机会。

方法

这是一项对221名在爱玛女王诊所接受产前护理并于2006年4月至2008年4月间分娩的女性进行的回顾性病历审查。产后倡议于2007年4月启动。主要结局是产后随访就诊次数。次要结局包括母乳喂养、避孕措施使用、抑郁症筛查与转诊、妊娠期糖尿病患者的随访筛查以及后续妊娠情况。

结果

产后随访倡议实施后，产后随访率显著提高（86.1% 对比71.7%，P = 0.012）。比较随访时间时，干预后组首次产后就诊时间提前约一周（2.96周对比3.73周，P = 0.38），第二次产后就诊时间无差异（6.62周对比6.42周，P = 0.72）。在干预后组，首次产后就诊时进行母乳喂养的患者更多（28.7% 对比16%，P = 0.015），第二次产后就诊时也是如此（28.7% 对比12.3%，P = 0.01）。干预后组使用避孕措施的女性也更多（84.3% 对比71.7%，P = 0.009）。抑郁症筛查与转诊、妊娠期糖尿病的随访筛查或后续妊娠时间方面无差异。