Evidence map›Paper›PMID 32282598›Full record

ArticleObstetrics and gynecology2020

Patient Preferences for Prenatal and Postpartum Care Delivery: A Survey of Postpartum Women.

Alex Friedman Peahl, Alli Novara, Michele Heisler, Vanessa K Dalton, Michelle H Moniz, Roger D Smith

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Perinatal Outcomes Among Patients Using OB Teleflex, A Hybrid Prenatal Telemedicine Program.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Patient perspectives and preferences on cerclage and preterm birth: a focus group study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Reasons for Not Pursuing Virtual Prenatal Care in 2020 Through 2021 and Policy Implications.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alex Friedman PeahlDepartment of Obstetrics and Gynecology, the National Clinician Scholars Program, the Institute for Healthcare Policy and Innovation, the Program on Women's Healthcare Effectiveness Research (PWHER), and the Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Alli Novara
Michele Heisler
Vanessa K Dalton
Michelle H Moniz
Roger D Smith

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Immediate Postpartum Contraception: Implementing and Evaluating Evidence-based PracticeK08HS025465 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONIZ, MICHELLE HELENA · 2018 to 2022
$777k
AHRQ HHS K08 HS025465NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

objectiveTo describe patients' preferences for prenatal and postpartum care delivery.

methodsWe conducted a cross-sectional survey of postpartum patients admitted for childbirth and recovery at an academic institution. We assessed patient preferences for prenatal and postpartum care delivery, including visit number, between-visit contact (eg, phone and electronic medical record portal communication), acceptability of remote monitoring (eg, weight, blood pressure, fetal heart tones), and alternative care models (eg, telemedicine and home visits). We compared preferences for prenatal care visit number to current American College of Obstetricians and Gynecologists' recommendations (12-14 prenatal visits).

resultsOf the 332 women eligible for the study, 300 (90%) completed the survey. Women desired a median number of 10 prenatal visits (interquartile range 9-12), with most desiring fewer visits than currently recommended (fewer than 12: 63% [n=189]; 12-14: 22% [n=65]; more than 14: 15% [n=46]). Women who had private insurance or were white were more likely to prefer fewer prenatal visits. The majority of patients desired contact with their care team between visits (84%). Most patients reported comfort with home monitoring skills, including measuring weight (91%), blood pressure (82%), and fetal heart tones (68%). Patients reported that they would be most likely to use individual care models (94%), followed by pregnancy medical homes (72%) and home visits (69%). The majority of patients desired at least two postpartum visits (91%), with the first visit within 3 weeks after discharge (81%).

conclusionCurrent prenatal and postpartum care delivery does not match patients' preferences for visit number or between-visit contact, and patients are open to alternative models of prenatal care, including remote monitoring. Future prenatal care redesign will need to consider diverse patients' preferences and flexible models of care that are tailored to work with patients in the context of their lives and communities.

Indexed as

AdultCross-Sectional StudiesDelivery of Health CareFemaleHumansInfant, NewbornPatient PreferencePostnatal CarePostpartum PeriodPregnancyPrenatal CareSurveys and Questionnaires

Identifiers

PMID32282598
PMCPMC7183878

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.