Table 2:
Health care use during one year of follow-up among postpartum and nonpostpartum women of reproductive age
|
All postpartum women N=149,563 |
Nonpostpartum women N=2,048,831 |
Difference (unadjusted) N=2,198,394 |
Difference (adjusted) N=2,198,394 |
|
|---|---|---|---|---|
| Percent | Percent | Coefficient (95% CI) |
Coefficient (95% CI) |
|
| Early postpartum (<21 days) | ||||
| Preventive visits | 15.0 | 3.3 | 11.7*** (11.6–11.8) | 11.6*** (11.5–11.7) |
| Problem visits | 23.7 | 19.7 | 4.0*** (3.8–4.3) | 4.8*** (4.6–5.0) |
| ED visits | 3.2 | 1.0 | 2.2*** (2.1–2.3) | 2.3*** (2.2–2.4) |
| Hospitalization | 0.8 | 0.1 | 0.7*** (0.6–0.7) | 0.7*** (0.7–0.7) |
| Postpartum (21–60 days) | ||||
| Preventive visits | 28.2 | 6.5 | 21.6*** (21.5–21.8) | 21.4*** (21.3–21.5) |
| Problem visits | 39.4 | 30.2 | 9.2*** (8.9–9.4) | 10.2*** (9.9–10.4) |
| ED visits | 2.0 | 1.9 | 0.1** (0.0–0.2) | 0.3*** (0.2–0.4) |
| Hospitalization | 0.3 | 0.2 | 0.0 (−0.0–0.0) | 0.1*** (0.0–0.1) |
| Extended postpartum (day 61–365) | ||||
| Preventive visits | 42.5 | 42.7 | −0.3* (−0.5,−0.0) | −1.8*** (−2.1,−1.5) |
| Problem visits | 79.5 | 72.8 | 6.6*** (6.4–6.9) | 6.5*** (6.2–6.7) |
| ED visits | 11.2 | 11.1 | 0.2 (−0.0–0.3) | 1.1*** (0.9–1.2) |
| Hospitalization | 1.4 | 1.6 | −0.2*** (−0.2,−0.1) | 0.1** (0.0–0.2) |
NOTE: Preventive visits were visits with any diagnosis code for a preventive office visit (99381–99397), encounter for general adult medical examination (Z00.00, Z00.01), well woman exam (Z01.411, Z01.419), or postpartum care (Z39.1, Z39.2). Problem visits were visits without any preventive codes. Adjusted regression models included age group (18–24 years, 25–34 years, and 34–44 years), chronic disease (diabetes, asthma, hypertension, mood or anxiety disorder, region (Northwest, West, South, Midwest), income and month when follow-up began.
p<0.05,
p<0.01
p<0.001