Predictors for follow-up among postpartum patients enrolled in a clinical trial
Predictors for follow-up among postpartum patients enrolled in a clinical trial
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DOI:
10.1016/j.contraception.2018.04.016
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发表时间:
2018-09-01
期刊:
影响因子:
2.9
通讯作者:
Rodriguez, Maria I.
中科院分区:
文献类型:
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作者:
Baldwin, Maureen K.;Hart, Kyle D.;Rodriguez, Maria I.
Objective: To identify risk factors for failure to attend postpartum follow-up within 3 months of delivery, including social support, intrinsic motivation, insurance type and prenatal care attendance.Study design: This planned secondary analysis is derived from a randomized controlled trial of patients intending intrauterine device (IUD) use following their delivery (n=197). Subjects were postpartum from a vaginal or cesarean birth at >= 32 weeks' gestation. We obtained baseline demographics and certainty about their plan to receive a postpartum IUD. We administered validated scales for social support and intrinsic motivation at enrollment. We then reviewed health records for prenatal visits and any postpartum visit by 3 months and performed logistic regression to assess for predictors of follow-up.Results: A total of 38/197 subjects (193%) failed to attend any postpartum visit by 3 months. Subjects who failed to follow up were more likely to have Medicaid versus private insurance (92% versus 8%, p