Acute postpartum care utilization after expedited postpartum discharge

Background: Information on determinants of postpartum care is essential for public health action, yet this information is scarce in Pakistan. Hence, the current study aimed to determine the factors of newborn postpartum care utilization from the Pakistan Demographic and Health Surveys conducted from 2006–2018. Methods: We analyzed data from three rounds of cross-sectional, nationally representative Pakistan Demographic and Health Surveys (PDHS) 2006–07, 2012–13, and 2017–18. Multivariable logistic regression models were applied to explore factors associated with utilization of newborn postpartum care within two months. Results: This study included 5724 women from the 2006–07 PDHS, 7461 from the 2012–13 survey, and 8287 from the 2017–18 survey. The proportion of women receiving newborn postnatal care within the first two months of delivery increased from 13% in 2006–07 to 43% in 2012–13 but dropped to 27% in 2017–18. Respondent’s occupation and prenatal care utilization of maternal health services were common factors that significantly influenced newborn postnatal care utilization within two months. The utilization of postnatal care was greater among women having educated husbands and where the first child was a male in PDHS 2007 round. Higher wealth index and educated respondent had higher postnatal care utilization odds in DHS 2012 and DHS 2018. However, the odds of using postnatal care decreased with the number of household members and total number of children ever born in DHS 2012 and 2018 rounds. Conclusions: There was a general increase in the proportion of women who utilized postnatal care for their newborns during 2006–2013 but a decrease in 2018. The decreased utilization in 2018 warrants further investigation. Improving women’s economic status, education, employment, and antenatal care attendance and reducing parity may increase newborn postnatal care utilization.

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Utilization of Postnatal Care Services among the Rural Women in Bangladesh

Northern International Medical College Journal ◽

10.3329/nimcj.v8i2.32551 ◽

2017 ◽

Vol 8 (2) ◽

pp. 208-212

Author(s):

Shafia Khatun Nayan ◽

Nasreen Begum ◽

Mumtaz Rahman Abid ◽

Sanjida Rahman ◽

Ahsanul Kabir Rajib ◽

...

Keyword(s):

Health Care ◽

Antenatal Care ◽

Rural Women ◽

Postnatal Care ◽

Postpartum Care ◽

Care Utilization ◽

Care Providers ◽

Care Services ◽

Post Natal Care ◽

Natal Care

Background : Low utilization of routine postnatal care (PNC) is an important determinant of high maternal and neonatal mortality in Bangladesh.Objective : To determine the utilization of post-natal care services among the rural women in a selected area in Bangladesh.Methodology : During October 2015 to March 2016 a descriptive, cross-sectional study was carried out among 200 married women of reproductive age who had a live baby below 5years of age. Sample was selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. After taking informed consent data were collected by face to face interview using structured questionnaire.Results : The study revealed that 73.50% of the respondents utilized PNC services among them 55.10% took PNC for less than 3 times and 28.57% took PNC for more than 3 times during postnatal period. Most of them 86% were house wife; age between 25-30 years. About 35% respondents were educated up to secondary level and 31.5% were from middle economic group. In this study 79.50% respondents received Antenatal care and advice for Post-Natal Care (PNC) Source of information for PNC was 32.5% from health workers. Fifty nine percent respondents took PNC on combined decision of husband and wife. A significant number of respondents 61.91% received postnatal care at Upazilla Health Complex. Most of the respondents 73.47% found health care provider available on duty and good behavior were found by 72.11% respondents. Among respondents 62.59% attended Health Centre by walking. Only 59.86% respondents got free PNC service. Regarding importance of PNC 67.5% believed for healthy mother and 12.5% for healthy baby.Conclusions : Post Natal Care service utilization was satisfactory (73.50%) in the study area which is higher than the national figure (36%). The findings of the study clearly showed that female education, monthly household income, antenatal care utilization, distance of health center turned out important factors in determining the postpartum care utilization among the mothers. Availability and interaction with health care providers also affected the postpartum care utilization in the study population.Northern International Medical College Journal Vol.8(2) January 2017: 208-212

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Prenatal Depression Severity and Postpartum Care Utilization in a Medicaid Population

Women's Health Reports ◽

10.1089/whr.2020.0079 ◽

2020 ◽

Vol 1 (1) ◽

pp. 468-473

Author(s):

Susan G. Kornstein ◽

Anny-Claude Joseph ◽

Whitney C. Graves ◽

Jordyn T. Wallenborn

Keyword(s):

Postpartum Care ◽

Prenatal Depression ◽

Care Utilization ◽

Depression Severity ◽

Medicaid Population

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Postpartum Care Utilization Among Emergency Medicaid Recipients

Journal of Immigrant and Minority Health ◽

10.1007/s10903-021-01188-6 ◽

2021 ◽

Author(s):

Suzanne Funkhouser ◽

Kimberley A. Bullard ◽

Alyssa R. Hersh ◽

Karen S. Greiner ◽

Maria I. Rodriguez

Keyword(s):

Postpartum Care ◽

Care Utilization

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Impact of a Population-based Systems Approach on Evidence-based Care for Medicaid-insured Pregnant and Postpartum Women: A Quasi-Experimental Study

10.1101/2021.03.23.21253829 ◽

2021 ◽

Author(s):

Lee Anne Roman ◽

Jennifer E. Raffo ◽

Kelly L. Strutz ◽

Zhehui Luo ◽

Melinda Johnson ◽

...

Keyword(s):

Black Women ◽

Systems Approach ◽

First Trimester ◽

Population Based ◽

Postpartum Care ◽

Care Utilization ◽

Evidence Based ◽

Experimental Population ◽

Positive Effects ◽

Quasi Experimental

AbstractIntroductionEvidence-based enhanced prenatal/postnatal care (EPC) programs for Medicaid-insured women have significant positive effects on care and health outcomes. However, EPC enrollment rates are typically low, enrolling less than 30% of eligible women. This study investigated the effects of a population-based systems approach on timely EPC participation and other health care utilization.MethodsThis quasi-experimental, population-based, difference-in-difference study used linked birth certificates, Medicaid claims, and EPC data from complete statewide Medicaid birth cohorts retrieved from 2009-2017 and analyzed in 2019-20. System strategies included cross-agency leadership, clinical-community linked practices, Community Health Worker care, mental health coordination, and patient empowerment. Outcomes included EPC participation and early enrollment, prenatal care adequacy, emergency department contact, and postpartum care.ResultsPrenatal EPC (7.4 absolute percentage points; 95% CI: 6.3—8.5) and first trimester EPC, (12.4; 95% CI: 10.2—14.5) increased among women served by practices that co-located EPC resources, relative to the comparator group. First trimester EPC improved in the county (17.9; 95% CI: 15.7—20.0); ED decreased in the practices (−11.1; 95% CI: -12.3— -9.9) and postpartum care improved (7.1; 95% CI: 6— 8.2) in the county. EPC participation for Black women served by the practices improved (4.4; 95% CI: 2.2—6.6), as well as early EPC (12.3; 95% CI: 9.0—15.6) and postpartum visits (10.4; 95% CI: 8.3—12.4).ConclusionsA population systems approach improved EPC participation and service utilization for Medicaid-insured women in a county population, for those in practices that co-located EPC resources, and for Black women.

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