ArticleHealth services research2024
Acute health care utilization in the first 24 months postpartum by rurality and pregnancy complications: A prospective cohort study.
Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Association of treatment for prenatal depression with cardiovascular disease within 24 months after delivery.Pregnancy (Hoboken, N.J.) · 2026Article
- Validation of a prediction model for postpartum hospital use in geographic contexts with greater rural representation.American journal of obstetrics & gynecology MFM · 2026Article
- Social Vulnerability Index and Its Association With Postpartum Care Attendance.Obstetrics and gynecology · 2026Article
- Rural-urban differences in health care access for postpartum parent and infant dyads.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Postpartum Acute Care Utilization in a Health Care System in the Southeastern United States.Journal of women's health (2002) · 2025Article
- Ambulatory care utilization in the first 24 months' postpartum by rurality and pregnancy-related conditions: A prospective cohort study from Maine.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Postpartum Emergency Care Visits Among North Carolina Medicaid Beneficiaries, 2013-2019.Journal of women's health (2002) · 2024Article
- Acute health care utilization in the first 24 months postpartum by rurality and pregnancy complications: A prospective cohort study.Health services research · 2024Article
- The role of home visiting in addressing postpartum care gaps: Evidence from a large community sample.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo estimate the rate of acute health care use (hospitalizations and emergency department [ED] visits) among postpartum persons by rurality of residence and pregnancy complications. DATA SOURCES AND STUDY
setting2006-2021 data from the Maine Health Data Organization's All Payer Claims Data. STUDY
designWe estimated the rates of hospitalizations and ED visits during the first 24 months postpartum, separately, overall and by four-level rurality of residence (urban, large rural, small rural, and isolated rural) and by pregnancy complications (prenatal depression, hypertensive disorders of pregnancy [HDP], and gestational diabetes mellitus [GDM]). We used Poisson regression models, adjusting for potential confounders. Data were weighted to account for censoring before 24 months postpartum. DATA EXTRACTION
methodsDeliveries during 2007-2019 (n = 122,412). PRINCIPAL
findingsApproximately 4% of persons had at least one hospitalization within 24 months postpartum (mean monthly rate per 100 deliveries = 0.35). Adjusted rates were not different by rurality. Persons with prenatal depression (adjusted rate ratio [aRR] = 1.9; 95% confidence interval [CI] 1.5-2.5), HDP (aRR = 1.4; 1.0-2.0), and GDM (aRR = 1.4; 0.9-2.0) had higher hospitalization rates than those without these conditions. Approximately 44% of persons had at least one ED visit within 24 months postpartum (mean monthly rate per 100 deliveries = 5.4). Adjusted ED rates were higher for persons living in small rural areas as compared with urban areas (aRR = 1.3; 1.2-1.4). Persons with prenatal depression (aRR = 1.8; 1.7-1.9), HDP (aRR = 1.1; 1.0-1.2), and GDM (aRR = 1.3; 1.2-1.4) had higher ED rates than those without these conditions; ED rates were highest among those living in small rural areas.
conclusionNew policies and care practices may be needed to prevent acute health care encounters in the first 24 months after delivery for persons with common pregnancy conditions. Efforts to identify why postpartum people living in small rural areas have higher rates of ED visits are warranted.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.