Monday, September 3, 2018

The Effect of 6 Weeks versus 3 Weeks Post Partum Visit On Short Interval Delivery Rate by Herrera Gonzalez Aaron in BJSTR

Abstract

The Effect of 6 Weeks versus 3 Weeks Post Partum Visit on Short Interval Delivery Rate.
Objective: To evaluate the effect of postpartum visit timing on short interval delivery rates.
Methods: Retrospective chart review was conducted on all patients who had two deliveries at a large community hospital resident’s clinic between May of 2011 to January 2013. Patient demographics, breast feeding, economic status, and postpartum visit attendance were compared to patients that had only one delivery during that time period. From May 2015 to January 2017, 18 months after altering the timing of postpartum visit from 6 to 3 weeks, the short interval delivery and attendance at postpartum visit were compared between the two time periods at the same clinic. Univariate analysis using Chi square or t -test were used as appropriate.
Results: During the initial study phase 72 (7.3%) out of 991 patients had a short interval delivery. Only age (25.4 ± 6.4, 27.9 ± 5.1, p=0.001) and attendance at the postpartum visit (49.6% vs. 63.6, p=0.02) differed between the short interval delivery and the non-short interval delivery groups. In the follow up period (May 2015 to January 2017), 53 (5%) out of 1056 deliveries were short interval deliveries. Postpartum visit attendance was 752 (71.2%). Significant decrease in short interval pregnancy was noted when comparing the two time periods (7.3% vs. 5%, p=0.04). In addition an increase in PPV attendance was noted (62.1% vs. 71.2%, p=0.001).
Conclusion: Changing the timing of the postpartum visit from 6 weeks to 3 weeks may decrease short interval delivery rate and increase postpartum visit attendance.




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