Evidence map›Paper›PMID 39528721›Full record

ArticleJournal of general internal medicine2025

Comparing a Model of Augmented Postpartum Primary Care to Usual Care in an Urban Medical Center.

Sam Wainwright, Anne Elizabeth Glassgow, Abigail Holicky, Eric Kim, Melissa Wagner-Schuman, Kavya Anjur, Shreya Bellur, Rachel Caskey

Abstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. 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

8 authors.

Sam WainwrightDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA. swainwr2@uic.edu.ORCID 0000-0002-0111-7046
Anne Elizabeth GlassgowDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Abigail HolickyDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Eric KimSchool of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
Melissa Wagner-SchumanDepartment of Psychiatry, University of Illinois Chicago College of Medicine, Chicago, IL, USA.
Kavya AnjurDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Shreya BellurDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Rachel CaskeyDivision of Academic Internal Medicine, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.

Funding

HRSA HHS U7AMC33720
6 · The paper itself

Abstract

backgroundThe US faces a maternal health crisis and struggles to deliver recommended postpartum care. In some populations, less than half of mothers attend a postpartum visit.

objectiveTo determine if a two-generation (Two-Gen) model of interdisciplinary, postpartum primary care was associated with increased visit attendance for postpartum care, primary care, and behavioral health.

designRetrospective study of care delivered at a single, urban, academic, safety-net medical center between 2020 and 2023.

participantsMothers who received postpartum care in Two-Gen and a comparison group who received usual postpartum care. MAIN MEASURES: Adjusted logistic regression to estimate the effect of Two-Gen participation on the odds of attending an early (birth-to-3 weeks) postpartum visit, later (4-to-12 weeks) postpartum visit, OB/GYN visit, and primary care visit. KEY

resultsA total of 247 mothers (98 Two-Gen and 149 usual care) were included for analysis. Most identified as Non-Hispanic Black (55%) or Hispanic (34%) and had Medicaid insurance (74%). On average, Two-Gen mothers were younger and more likely to be primiparous. Compared to usual care, Two-Gen mothers had similar rates of early postpartum visits (79% vs 64%; adjusted odds ratio (aOR) 1.70; 95% confidence interval (CI) 0.92-3.14) and were significantly more likely to have a later postpartum visit (92% vs 79%; aOR 2.46; 95%CI 1.06-5.74) in adjusted analyses. Almost all Two-Gen mothers (97%) had a visit with a primary care doctor in the first postpartum year, compared to 19% of mothers receiving usual care (aOR 12.95; 95%CI 6.80-24.68). Of those with behavioral health diagnoses, Two-Gen mothers had higher rates of psychiatrist visits than usual care mothers (49% vs 13%; p = 0.001).

conclusionsTwo-Gen clinic participation was associated with high rates of timely postpartum care in a group of predominantly young, publicly insured, racial, and ethnic minority mothers and compared favorably to usual care across multiple metrics, notably utilization of primary and behavioral health care.

Indexed as

Postnatal CarePrimary Health CareAdultFemaleHumansPostpartum PeriodPregnancyRetrospective StudiesYoung Adultfourth trimestermaternal healthmotherspostpartum carepostpartum primary caretwo-generation care

Identifiers

PMID39528721
PMCPMC11914437

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.