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The effect of maternity care coordination services on utilization of postpartum contraceptive services
Rutledge, R. I., Domino, M. E., Hillemeier, M. M., & Wells, R. (2016). The effect of maternity care coordination services on utilization of postpartum contraceptive services. Contraception, 94(5), 541-547. https://doi.org/10.1016/j.contraception.2016.06.007
Objective: To examine whether maternity care coordination (MCC) services are associated with utilization of postpartum contraceptive services.
Methods: Using a random sample of 7120 live births, we analyzed administrative data to assess whether MCC services affected utilization of contraceptive services within 3 months of delivery. Treatment groups were constructed as MCC during the prenatal period only (n=531), MCC in both the prenatal and postpartum periods (n=1723) and a non-MCC control group (n=4866). Inverse probability of treatment weights (IPTWs) were calculated and applied to balance baseline risk factors across groups. We used the IPTW linear probability model to estimate postpartum contraceptive service utilization, controlling for demographic, social, reproductive and medical home enrollment characteristics.
Results: At 3 months postpartum, MCC participation was associated with a 19-percentage point higher level of utilization of postpartum contraceptive services among women who received both prenatal and postpartum care coordination services (p
Conclusions: MCC programs may be instrumental in increasing timely utilization of postpartum contraceptive services, but continuation of the intervention into the postpartum period is critical. (C) 2016 Elsevier Inc. All rights reserved.
