ArticleAmerican journal of preventive medicine2022
Predicting Postpartum Transition to Primary Care in Community Health Centers.
Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The trial behind it
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Who cites it
21 citing papers in PubMed.
- Patient Navigation and Postpartum Health Care Outcomes: A Randomized Clinical Trial.JAMA health forum · 2026Trial
- Mapping the Postpartum Experience Through Obstetric Patient Navigation for Low-Income Individuals.Journal of women's health (2002) · 2024Trial
- Postpartum care utilization among high-risk pregnancies in an urban safety-net health system.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2026Article
- Racial Inequities in Postpartum Coverage During Medicaid Continuous Coverage: Evidence From Affordable Care Act Expansion Versus Nonexpansion States.American journal of preventive medicine · 2026Article
- Social determinants of health and recommended A1C monitoring among women with postpartum-onset diabetes: results from a retrospective cohort.BMJ open diabetes research & care · 2026Article
- Improving interconception care: a qualitative study in United States primary care.Preventive medicine reports · 2026Article
- Health Care Utilization Among Pregnant Women With Pre-existing Kidney Disease: A Retrospective Cohort Analysis.Kidney medicine · 2025Article
- New York's Basic Health Program Increased Subsidized Insurance Coverage From Preconception To The Postpartum Period.Health affairs (Project Hope) · 2025Article
- Perinatal healthcare access, perceived quality, and preferences among historically underrepresented mother-infant dyads: a mixed methods study.BMC pregnancy and childbirth · 2025Observational
- Primary Care Clinician Perspectives on Barriers to Postpartum Transition to Primary Care.Journal of women's health (2002) · 2025Article
- A systematic review of behavioral interventions to improve maternal outcomes for women in the United States at high risk for adverse pregnancy outcomes.medRxiv : the preprint server for health sciences · 2025Article
- Comparing a Model of Augmented Postpartum Primary Care to Usual Care in an Urban Medical Center.Journal of general internal medicine · 2025Article
- Bridging the Postpartum Cliff-First Year Outcomes of a Postpartum Transition to Primary Care Clinic.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Identifying Health Systems Gaps as Perceived by Postpartum Patient Navigators at an Urban Academic Medical Center.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Implementing a specialized fourth trimester clinic pilot for high-risk individuals.American journal of obstetrics & gynecology MFM · 2024Article
- Preventive Primary Care in the Postpartum Year: The Role of Medicaid Delivery System Reform.American journal of preventive medicine · 2024Article
- Healthy Moms Clinic: Challenges and Opportunities of Integrating Postpartum Care Into Primary Care and Residency Education.American journal of public health · 2024Article
- Review
- Chronic Hypertension in Pregnancy: A Lens Into Cardiovascular Disease Risk and Prevention.Hypertension (Dallas, Tex. : 1979) · 2023Review
- A Mixed Methods Evaluation of a Quality Improvement Model to Optimize Perinatal and Primary Care in the Community Health Setting.Annals of family medicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
introductionAlthough the transition to primary care after routine postpartum care has been recommended to mitigate adverse maternal outcomes, little is known about real-world transition patterns. The objective of this study was to describe the patterns and predictors of transition in a postpartum cohort receiving care at federally qualified health centers and a subcohort of clinically high-risk patients.
methodsElectronic health record data collected between 2017 and 2019 were analyzed in 2021 for unadjusted analyses and multivariable regression models for both the full and high-risk cohorts. The primary outcome was completion of a primary care visit within 6 months of delivery. Primary predictors in both cohorts were insurance loss, postpartum visit, first-trimester visit, and medical visit within the year prepregnancy; for the full cohort, high-risk status was also studied.
resultsThe full cohort (N=7,926) analysis showed that 17.3% completed a primary care visit. In unadjusted and adjusted analysis, all 5 predictors were significantly associated with primary care visit completion; 25.0% of high-risk patients completed a primary care visit, and patients who lost insurance had 66% lower odds of primary care visit completion (95% CI=0.24, 0.48). In unadjusted and adjusted analysis for the high-risk cohort (n=1,956, 24.7% of full cohort), all predictors except postpartum visit were significantly associated with primary care visit completion.
conclusionsPostpartum patients at federally qualified health centers transitioned to primary care at low rates; insurance loss was one significant barrier to care. Strategies to increase continuity, including improving insurance access, should be studied. Future research is needed to study structural inequity, the impact of primary care on maternal outcomes, and patient experience.
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