Willis Don E, Bogulski Cari A, Brown Clare C, Manning Nirvana A, White Lanita S, Selig James P, Li Ji, McElfish Pearl A
Institute for Community Health Innovation, University of Arkansas for Medical Sciences Northwest, Springdale, AR (Willis and McElfish).
College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR (Willis and McElfish).
AJOG Glob Rep. 2025 Jul 3;5(3):100541. doi: 10.1016/j.xagr.2025.100541. eCollection 2025 Aug.
Postpartum care is critical to preventing pregnancy-associated deaths. Virtual modes of care have potential to improve access to postpartum care; however, the impact on postpartum screenings for cigarette smoking, emotional/physical abuse, and depression is unknown.
The purpose of this study was to compare receipt of these screenings between mothers who received any virtual postpartum care and those whose care was exclusively in-person.
Using the Pregnancy Risk Assessment Monitoring System Phase 8 data, we estimated receipt of postpartum care screenings for smoking, emotional/physical abuse, and depression for US mothers during COVID-19 (2020-2021) and assessed differences by mode of care. The analytical sample (n=21,815) included mothers from 28 Pregnancy Risk Assessment Monitoring System study sites who had postpartum care and answered the mode of care question and all 3 postpartum screening questions.
Over half of all mothers were screened for cigarette smoking (56.45%) and emotional/physical abuse (59.28%) during their postpartum care, whereas screening for depression was much more prevalent (87.63%). A higher percentage of screenings for smoking, emotional/physical abuse, and depression was reported for mothers who received any virtual postpartum care compared with those who attended exclusively in-person care (all <.001). After adjusting for covariates, the prevalence of screening for cigarette smoking, emotional/physical abuse, and depression was 14%, 18%, and 6% higher, respectively, among mothers who received any virtual (vs. exclusively in-person) postpartum care.
Virtual postpartum care may improve the percentage of women receiving screenings for important maternal health risks and behaviors, such as cigarette smoking, emotional/physical abuse, and depression. Further research is needed to determine whether mothers receiving virtual postpartum care are more likely to receive screenings because of the mode of care itself.
产后护理对于预防与妊娠相关的死亡至关重要。虚拟护理模式有可能改善产后护理的可及性；然而，其对吸烟、情感/身体虐待及抑郁症产后筛查的影响尚不清楚。
本研究的目的是比较接受任何虚拟产后护理的母亲与仅接受面对面护理的母亲之间这些筛查的接受情况。
利用妊娠风险评估监测系统第8阶段的数据，我们估计了美国母亲在2019冠状病毒病（2020 - 2021年）期间接受吸烟、情感/身体虐待及抑郁症产后护理筛查的情况，并按护理模式评估差异。分析样本（n = 21,815）包括来自28个妊娠风险评估监测系统研究地点的母亲，她们接受了产后护理，并回答了护理模式问题及所有3个产后筛查问题。
超过一半的母亲在产后护理期间接受了吸烟（56.45%）和情感/身体虐待（59.28%）筛查，而抑郁症筛查更为普遍（87.63%）。与仅接受面对面护理的母亲相比，接受任何虚拟产后护理的母亲报告的吸烟、情感/身体虐待及抑郁症筛查比例更高（均P <.001）。在调整协变量后，接受任何虚拟（与仅面对面）产后护理的母亲中，吸烟、情感/身体虐待及抑郁症筛查的患病率分别高出14%、18%和6%。
虚拟产后护理可能提高接受重要孕产妇健康风险和行为（如吸烟、情感/身体虐待及抑郁症）筛查的女性比例。需要进一步研究以确定接受虚拟产后护理的母亲是否因护理模式本身而更有可能接受筛查。
