Masho Saba W, Cha Susan, Charles RaShel, McGee Elizabeth, Karjane Nicole, Hines Linda, Kornstein Susan G
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.
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.
J Pregnancy. 2016;2016:2058127. doi: 10.1155/2016/2058127. Epub 2016 Dec 13.
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. 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 ( = 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. 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). 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.
产后避孕措施使用的延迟可能会增加意外怀孕或快速再次怀孕的风险。产后护理访视（PPCV）是女性与医疗保健提供者讨论计划生育选择的好机会。本研究利用一家管理式医疗组织的数据，检验了产后护理访视的参与情况与现代避孕措施使用之间的关联。索赔数据、人口统计学数据和管理数据来自弗吉尼亚州的一家非营利性管理式医疗组织（2008 - 2012年）。对单胎分娩母亲的最新分娩信息进行了分析（n = 24,619）。常规产后护理访视（是、否）和现代避孕措施的使用均进行了二分法分类。描述性分析提供了百分比、频率和均值。进行了多因素逻辑回归分析，并计算了比值比（OR）和95%置信区间（CI）。超过一半的女性未参加产后护理访视（50.8%），86.9%未使用现代避孕措施。在控制了混杂因素的影响后，参加产后护理访视的女性使用现代避孕方法的可能性比未参加产后护理访视的女性高50%（OR = 1.50，95% CI = 1.31，1.72）。这些发现凸显了产后护理访视在促进现代避孕措施使用方面的重要性，并为降低意外怀孕率的医疗保健政策提供了指导。
