ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Primary Care Utilization After Pregnancies Complicated by Hypertension and Diabetes: An Analysis of the Medical Expenditure Panel Survey From 2016-2022.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundPrimary care after pregnancy allows for cardiovascular risk factor modification amidst rising rates of cardiometabolic complications in pregnancy. However, postpartum primary care utilization is understudied, with few national studies among the privately insured. In response to updated professional guidelines and expanded insurance access, we conducted a nationally representative, multipayer study among privately and publicly insured individuals with cardiometabolic complications to explore primary care utilization after pregnancy.
methodsUsing Medical Expenditure Panel Survey (MEPS) data from 2016 to 2022, we conducted a retrospective cohort study examining primary care and other health care utilization (obstetrics/gynecology [OB/GYN], emergency room [ER], hospitalizations) after pregnancy among individuals with hypertension, pregestational diabetes, or gestational diabetes, which we collectively defined as "medically complicated pregnancy." We used multivariable regression models to test for differences among individuals with medically complicated and uncomplicated pregnancy.
resultsAmong 696 postpartum individuals, 13% had a medically complicated pregnancy. In the 1 year after pregnancy, 33.3% had one or more primary care visits and 58.2% had any OB/GYN visits. Individuals with medically complicated pregnancies had a significantly higher number of ER visits by .2 visit (95% confidence interval [.1, .3]); there were no other significant differences in primary care or other health care utilization in the postpartum year.
conclusionPrimary care utilization in the year after pregnancy remains suboptimal, even among individuals with medically complicated pregnancy. These findings highlight a key missed opportunity after pregnancy for cardiovascular risk factor modification and underscore the need for interventions aimed at improving postpartum transitions to primary care.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.