Department of Health Promotion and Policy, University of Massachusetts Amherst School of Public Health and Health Sciences, Amherst, Massachusetts.
Department of Health Promotion and Policy, University of Massachusetts Amherst School of Public Health and Health Sciences, Amherst, Massachusetts.
Womens Health Issues. 2022 Jul-Aug;32(4):369-375. doi: 10.1016/j.whi.2022.02.002. Epub 2022 Mar 15.
Adequate postpartum care, including the comprehensive postpartum visit, is critical for long-term maternal health and the reduction of maternal mortality, particularly for people who may lose insurance coverage postpartum. However, variation in previous estimates of postpartum visit attendance in the United States makes it difficult to assess rates of attendance and associated characteristics.
We conducted a systematic review of estimates of postpartum visit attendance. We searched PubMed, CINAHL, PsycInfo, and Web of Science for articles published in English from 1995 to 2020 using search terms to capture postpartum visit attendance and use in the United States.
Eighty-eight studies were included in this analysis. Postpartum visit attendance rates varied substantially, from 24.9% to 96.5%, with a mean of 72.1%. Postpartum visit attendance rates were higher in studies using patient self-report than those using administrative data. The number of articles including an estimate of postpartum visit attendance increased considerably over the study period; the majority were published in 2015 or later.
Our findings suggest that increased systematic data collection efforts aligned with postpartum care guidelines and attention to postpartum visit attendance rates may help to target policies to improve maternal wellbeing. Most estimates indicate that a substantial proportion of women do not attend at least one postpartum visit, potentially contributing to maternal morbidity as well as preventing a smooth transition to future well-woman care. Estimates of current postpartum visit attendance are important for informing efforts that seek to increase postpartum visit attendance rates and to improve the quality of care.
充分的产后护理，包括全面的产后访视，对产妇的长期健康和降低产妇死亡率至关重要，特别是对于那些可能在产后失去保险覆盖的人。然而，美国以前对产后访视出勤率的估计存在差异，这使得评估出勤率和相关特征变得困难。
我们对产后访视出勤率的估计进行了系统回顾。我们使用了搜索词来搜索 1995 年至 2020 年在 PubMed、CINAHL、PsycInfo 和 Web of Science 上发表的英文文章，以捕获产后访视出勤率和在美国的使用情况。
本分析共纳入 88 项研究。产后访视出勤率差异很大，从 24.9%到 96.5%，平均为 72.1%。使用患者自我报告的研究中，产后访视出勤率高于使用行政数据的研究。包括产后访视出勤率估计的文章数量在研究期间显著增加；大多数发表于 2015 年或之后。
我们的研究结果表明，增加系统的数据收集工作，并与产后护理指南保持一致，以及关注产后访视出勤率，可能有助于制定政策以改善产妇健康状况。大多数估计表明，相当一部分妇女没有至少进行一次产后访视，这可能导致产妇发病率增加，并阻碍顺利过渡到未来的女性健康护理。当前产后访视出勤率的估计对于提高产后访视出勤率和改善护理质量的努力非常重要。
