Postpartum Care Up To One Year After Delivery

Project Summary Title and Description

Postpartum Care Up To One Year After Delivery
This SR will assess the healthcare strategies for postpartum individuals. Specifically, the review will address the (comparative) benefits and harms of: ● Alternative strategies for postpartum healthcare delivery (Key Question 1) ● Extension of postpartum healthcare or health insurance coverage (Key Question 2)
Brown Evidence-based Practice Center
Authors of Report
Ian J. Saldanha, M.B.B.S., M.P.H., Ph.D. Gaelen P. Adam, M.L.I.S., M.P.H. Ghid Kanaan, M.D. Michael L. Zahradnik, M.Sc. Dale W. Steele, M.D., M.S. Valery A. Danilack, M.P.H., Ph.D. Alex Friedman Peahl, M.D., M.Sc. Kenneth K. Chen, M.D. Alison M. Stuebe, M.D. Ethan M. Balk, M.D., M.P.H.
Methodology description
Systematic Review
Data were entered into this project prospectively (using SRDR's built-in data abstraction function and templates).
Funding Source
Agency for Healthcare Research and Quality (AHRQ) and Patient-Centered Outcomes Research Institute (PCORI)

Key Questions

1. Key Question 1: What healthcare delivery strategies affect postpartum healthcare utilization and improve maternal outcomes within 1 year postpartum?
2. Key Question 2: Does extension of health insurance coverage or improvements in access to healthcare affect postpartum healthcare utilization and improve maternal outcomes within 1 year postpartum?

Associated Extraction Forms


Associated Studies (each link opens a new tab)

Title Authors Year
Comparison of an additional early visit to routine postpartum care on initiation of long-acting reversible contraception: A randomized trial. Bernard Caitlin, Wan Leping, Peipert Jeffrey F, Madden Tessa 2018
Breastfeeding education and support trial for overweight and obese women: a randomized trial. Chapman Donna J, Morel Katherine, Bermúdez-Millán Angela, Young Sara, Damio Grace, Pérez-Escamilla Rafael 2013
Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency. Polk S, Edwardson J, Lawson S, Valenzuela D, Hobbins E, Prichett L, Bennett WL 2021
Personalized contraceptive assistance and uptake of long-acting, reversible contraceptives by postpartum women: a randomized, controlled trial. Simmons KB, Edelman AB, Li H, Yanit KE, Jensen JT 2013 Jul
Telephone peer counseling of breastfeeding among WIC participants: a randomized controlled trial. Reeder JA, Joyce T, Sibley K, Arnold D, Altindag O 2014 Sep
A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers. Pugh LC, Serwint JR, Frick KD, Nanda JP, Sharps PW, Spatz DL, Milligan RA 2010 Jan-Feb
A Novel Approach to Postpartum Contraception Provision Combined with Infant Care: A Randomized, Controlled Trial. Haider S, Stoffel C, Rankin K, Uesugi K, Handler A, Caskey R 2020 Mar - Apr
Interventions to increase the duration of breastfeeding in obese mothers: the Bassett Improving Breastfeeding Study. Rasmussen KM, Dieterich CM, Zelek ST, Altabet JD, Kjolhede CL 2011 Apr
Maternal and infant outcomes at one year for a nurse-health advocate home visiting program serving African Americans and Mexican Americans. Norr KF, Crittenden KS, Lehrer EL, Reyes O, Boyd CB, Nacion KW, Watanabe K 2003 May-Jun
Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: a randomized controlled trial. Chapman DJ, Damio G, Young S, Perez-Escamilla R 2004 Sep
Counseling and motivational videotapes increase duration of breast-feeding in African-American WIC participants who initiate breast-feeding. Gross SM, Caulfield LE, Bentley ME, Bronner Y, Kessler L, Jensen J, Paige VM 1998 Feb
Home Visiting Effects on Breastfeeding and Bedsharing in a Low-Income Sample. Mersky JP, Janczewski CE, Plummer Lee C, Gilbert RM, McAtee C, Yasin T 2021 Aug
Postpartum insertion of levonorgestrel--intrauterine system at three time periods: a prospective randomized pilot study. Dahlke JD, Terpstra ER, Ramseyer AM, Busch JM, Rieg T, Magann EF 2011 Sep
A randomized comparison of home and clinic follow-up visits after early postpartum hospital discharge. Lieu TA, Braveman PA, Escobar GJ, Fischer AF, Jensvold NG, Capra AM 2000 May
A randomized comparison of home visits and hospital-based group follow-up visits after early postpartum discharge. Escobar GJ, Braveman PA, Ackerson L, Odouli R, Coleman-Phox K, Capra AM, Wong C, Lieu TA 2001 Sep
Impact of the Lactation Advice Through Texting Can Help (LATCH) Trial on Time to First Contact and Exclusive Breastfeeding among WIC Participants. Martinez-Brockman JL, Harari N, Segura-Perez S, Goeschel L, Bozzi V, Perez-Escamilla R 2018 Jan
A randomized trial of single home nursing visits vs office-based care after nursery/maternity discharge: the Nurses for Infants Through Teaching and Assessment After the Nursery (NITTANY) Study. Paul IM, Beiler JS, Schaefer EW, Hollenbeak CS, Alleman N, Sturgis SA, Yu SM, Camacho FT, Weisman CS 2012 Mar
The Efficacy of Using Peer Mentors to Improve Maternal and Infant Health Outcomes in Hispanic Families: Findings from a Randomized Clinical Trial. Lutenbacher M, Elkins T, Dietrich MS, Riggs A 2018 Oct
Effect of primary care intervention on breastfeeding duration and intensity. Bonuck K, Stuebe A, Barnett J, Labbok MH, Fletcher J, Bernstein PS 2014 Feb
Effect of primary care intervention on breastfeeding duration and intensity. Bonuck K, Stuebe A, Barnett J, Labbok MH, Fletcher J, Bernstein PS 2014 Feb
A clinic-based breastfeeding peer counselor intervention in an urban, low-income population: interaction with breastfeeding attitude. Srinivas GL, Benson M, Worley S, Schulte E 2015 Feb
The Effect of Interactive Web-Based Monitoring on Breastfeeding Exclusivity, Intensity, and Duration in Healthy, Term Infants After Hospital Discharge. Ahmed AH, Roumani AM, Szucs K, Zhang L, King D 2016 Mar-Apr
Comparing the effectiveness of home visiting paraprofessionals and mental health professionals delivering a postpartum depression preventive intervention: a cluster-randomized non-inferiority clinical trial. Tandon SD, Johnson JK, Diebold A, Segovia M, Gollan JK, Degillio A, Zakieh D, Yeh C, Solano-Martinez J, Ciolino JD 2021 Aug
A randomized controlled trial of breastfeeding support and education for adolescent mothers. Wambach KA, Aaronson L, Breedlove G, Domian EW, Rojjanasrirat W, Yeh HW 2011 Jun
Randomized trial of postpartum care after hospital discharge. Gagnon AJ, Dougherty G, Jimenez V, Leduc N 2002 Jun
The effect of individualized professional support on duration of breastfeeding: a randomized controlled trial. Porteous R, Kaufman K, Rush J 2000 Nov
A randomized trial of two public health nurse follow-up programs after early obstetrical discharge: an examination of breastfeeding rates, maternal confidence and utilization and costs of health services. Steel O'Connor KO, Mowat DL, Scott HM, Carr PA, Dorland JL, Young Tai KF 2003 Mar-Apr
The effect of peer support on breast-feeding duration among primiparous women: a randomized controlled trial. Dennis CL, Hodnett E, Gallop R, Chalmers B 2002 Jan 8
A Randomized Controlled Trial of Innovative Postpartum Care Model for Mother-Baby Dyads. Laliberte C, Dunn S, Pound C, Sourial N, Yasseen AS 3rd, Millar D, Rennicks White R, Walker M, Lacaze-Masmonteil T 2016
The comparison of access to an eHealth resource to current practice on mother and co-parent teamwork and breastfeeding rates: A randomized controlled trial. Abbass-Dick J, Sun W, Newport A, Xie F, Godfrey D, Goodman WM 2020 Nov
A randomized controlled trial of alternative approaches to community follow-up for postpartum women. Edwards NC, Sims-Jones N 1997 Mar-Apr
Feasibility and Effectiveness of Telelactation Among Rural Breastfeeding Women. Uscher-Pines L, Ghosh-Dastidar B, Bogen DL, Ray KN, Demirci JR, Mehrotra A, Kapinos KA 2020 Jul
Nurse visitation for adolescent mothers: two-year infant health and maternal outcomes. Koniak-Griffin D, Verzemnieks IL, Anderson NL, Brecht ML, Lesser J, Kim S, Turner-Pluta C 2003 Mar-Apr
Randomized Controlled Trial of Doula-Home-Visiting Services: Impact on Maternal and Infant Health. Hans SL, Edwards RC, Zhang Y 2018 Oct
Breastfeeding and complementary food: randomized trial of community doula home visiting. Edwards RC, Thullen MJ, Korfmacher J, Lantos JD, Henson LG, Hans SL 2013 Nov
Randomized control trial of postpartum visits at 2 and 6 weeks. Pluym ID, Tandel MD, Kwan L, Mok T, Holliman K, Afshar Y, Rao R 2021 Jul
Comparing Postpartum Visit Attendance with a Scheduled 2- to 3-Week or 6-Week Visit after Delivery. Chen MJ, Hsia JK, Hou MY, Wilson MD, Creinin MD 2019 Jul
Doula care supports near-universal breastfeeding initiation among diverse, low-income women. Kozhimannil KB, Attanasio LB, Hardeman RR, O'Brien M 2013 Jul-Aug
Postpartum follow-up rates before and after the postpartum follow-up initiative at Queen Emma Clinic. Tsai PJ, Nakashima L, Yamamoto J, Ngo L, Kaneshiro B 2011 Mar
Effects of support on the initiation and duration of breastfeeding. Gill SL, Reifsnider E, Lucke JF 2007 Oct
Team-Based Breastfeeding Support at a Federally Qualified Health Center: Efficacy, Utilization, and Patient Satisfaction. Witt R, Vatti T, Lasko L, Witt AM 2021 Sep
An Integrated Model of Breastfeeding Peer Counseling Support is Feasible and Associated with Improved Exclusive Breastfeeding. Rozga MR, Benton PA, Kerver JM, Olson BH 2016 Dec
The effectiveness of implementing a reminder system into routine clinical practice: does it increase postpartum screening in women with gestational diabetes? Shea AK, Shah BR, Clark HD, Malcolm J, Walker M, Karovitch A, Keely EJ 2011 Mar
Analysis of Postpartum Uptake of Long-Acting Reversible Contraceptives Before and After Implementation of Medicaid Reimbursement Policy. Smith M, McCool-Myers M, Kottke MJ 2021 Sep
High-deductible health plans and costs and utilization of maternity care. Kozhimannil KB, Huskamp HA, Graves AJ, Soumerai SB, Ross-Degnan D, Wharam JF 2011 Jan
Medicaid Family Planning Expansions: The Effect of State Plan Amendments on Postpartum Contraceptive Use. Redd SK, Hall KS 2019 Apr
Denying postpartum sterilization to women with Emergency Medicaid does not reduce hospital charges. Rodriguez MI, Edelman A, Wallace N, Jensen JT 2008 Sep
Medicaid Expansion Associated With Some Improvements In Perinatal Mental Health. Margerison CE, Hettinger K, Kaestner R, Goldman-Mellor S, Gartner D 2021 Oct
Provision of Immediate Postpartum Long-Acting Reversible Contraceptives Before and After Wisconsin Medicaid's Payment Change. Kramer RD, Gangnon RE, Burns ME 2021 Jul-Aug
Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception. Myerson R, Crawford S, Wherry LR 2020 Nov
Insurance Differences in Preventive Care Use and Adverse Birth Outcomes Among Pregnant Women in a Medicaid Nonexpansion State: A Retrospective Cohort Study. Taylor YJ, Liu TL, Howell EA 2020 Jan
Use of Immediate Postpartum Long-Acting Reversible Contraception Before and After a State Policy Mandated Inpatient Access. Brant AR, Kollikonda S, Yao M, Mei L, Emery J 2021 Nov 1
Postpartum Medicaid Coverage and Contraceptive Use Before and After Ohio's Medicaid Expansion Under the Affordable Care Act. Dunlop AL, Joski P, Strahan AE, Sierra E, Adams EK 2020 Nov - Dec
Effects Of Medicaid Expansion On Postpartum Coverage And Outpatient Utilization. Gordon SH, Sommers BD, Wilson IB, Trivedi AN 2020 Jan
Medicaid and fulfillment of desired postpartum sterilization. Arora KS, Wilkinson B, Verbus E, Montague M, Morris J, Ascha M, Mercer BM 2018 Jun
The Effect of the Affordable Care Act on Women's Postpartum Insurance and Depression in 5 States That Did Not Expand Medicaid, 2012-2015. Schuster ALR, Perraillon MC, Paul JJ, Leiferman JA, Battaglia C, Morrato EH 2022 Jan 1
Medicaid Payments For Immediate Postpartum Long-Acting Reversible Contraception: Evidence From South Carolina. Steenland MW, Pace LE, Sinaiko AD, Cohen JL 2021 Feb
A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community. Anderson Alex K, Damio Grace, Young Sara, Chapman Donna J, Pérez-Escamilla Rafael 2005
Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum: A Randomized Controlled Trial. Levi Erika E, Stuart Gretchen S, Zerden Matthew L, Garrett Joanne M, Bryant Amy G 2015
Postplacental insertion of the levonorgestrel intrauterine device after cesarean delivery vs. delayed insertion: a randomized controlled trial. Whitaker Amy K, Endres Loraine K, Mistretta Stephanie Q, Gilliam Melissa L 2014
Postplacental or delayed insertion of the levonorgestrel intrauterine device after vaginal delivery: a randomized controlled trial. Chen Beatrice A, Reeves Matthew F, Hayes Jennifer L, Hohmann Heather L, Perriera Lisa K, Creinin Mitchell D 2010
Immediate Versus Delayed Insertion of Implanon in Postpartum Adolescents (Implanon) Dempsey 2018
Breastfeeding Support and Weight Management for Black Women (MamaBear) Kerver 2019
Immediate vs. Delayed Postpartum Etonogestrel Implant Morse 2016
Early Postpartum Intrauterine Device (IUD) Placement Baldwin 2019
Immediate Postplacental IUD Insertion Jensen 2019
Timing of Postpartum Depot Medroxyprogesterone Acetate Administration on Breastfeeding, Contraceptive Continuation, and Depression (DEPO-ABCD) Chen 2018
Nurse practitioner intervention to improve postpartum appointment keeping in an outpatient family planning clinic. Buckley H B 1990 Jan-Mar
Perinatal Health Outcomes Following a Community Health Worker-Supported Home-Visiting Program in Rochester, New York, 2015-2018. Pan Zhi, Veazie Peter, Sandler Mardy, Dozier Ann, Molongo Melissa, Pulcino Tiffany, Parisi Wendy, Eisenberg Katherine W 2020
Policy change is not enough: engaging provider champions on immediate postpartum contraception. Okoroh Ekwutosi M, Kane Debra J, Gee Rebekah E, Kieltyka Lyn, Frederiksen Brittni N, Baca Katharyn M, Rankin Kristin M, Goodman David A, Kroelinger Charlan D, Barfield Wanda D 2018
Changes in North Carolina maternal health service use and outcomes among medicaid-enrolled pregnant women during state budget cuts. Cilenti Dorothy, Kum Hye-Chung, Wells Rebecca, Whitmire J Timothy, Goyal Ravi K, Hillemeier Marianne M 2015 Mar-Apr
Coverage of immediate postpartum long-acting reversible contraception has improved birth intervals for at-risk populations. Liberty Abigail, Yee Kimberly, Darney Blair G, Lopez-Defede Ana, Rodriguez Maria I 2020
Breastfeeding duration, costs, and benefits of a support program for low-income breastfeeding women. Pugh LC, Milligan RA, Frick KD, Spatz D, Bronner Y 2002 Jun
Do postal reminders increase postpartum screening of diabetes mellitus in women with gestational diabetes mellitus? A randomized controlled trial. Clark HD, Graham ID, Karovitch A, Keely EJ 2009 Jun
Technology-assisted nursing for postpartum support: A randomized controlled trial. McCarter DE, Demidenko E, Sisco TS, Hegel MT 2019 Oct
Effect of a Community Agency-Administered Nurse Home Visitation Program on Program Use and Maternal and Infant Health Outcomes: A Randomized Clinical Trial. Dodge KA, Goodman WB, Bai Y, O'Donnell K, Murphy RA 2019 Nov 1
The effect of maternity care coordination services on utilization of postpartum contraceptive services. Rutledge RI, Domino ME, Hillemeier MM, Wells R 2016 Nov
Doula care across the maternity care continuum and impact on maternal health: Evaluation of doula programs across three states using propensity score matching. Falconi AM, Bromfield SG, Tang T, Malloy D, Blanco D, Disciglio RS, Chi RW 2022 Aug
The impact on postpartum care by telehealth: a retrospective cohort study. Arias MP, Wang E, Leitner K, Sannah T, Keegan M, Delferro J, Iluore C, Arimoro F, Streaty T, Hamm RF 2022 May
Impact of an intensive follow-up program on the postpartum glucose tolerance testing rate. Mendez-Figueroa H, Daley J, Breault P, Lopes VV, Paine V, Goldman D, Francis MJ, Delgado B, Coustan DR 2014 Jun
Implementation of a Postpartum Note Reminder and Factors Associated with Postpartum Glucose Tolerance Screening. Domingo A, Fogel J, Raffel R, Gesner T, Itzhak P 2022 Mar
Analysis of Contraceptive Use Among Immigrant Women Following Expansion of Medicaid Coverage for Postpartum Care. Rodriguez MI, Skye M, Lindner S, Caughey AB, Lopez-DeFede A, Darney BG, McConnell KJ 2021 Dec 1
Association of Medicaid Expansion in Arkansas With Postpartum Coverage, Outpatient Care, and Racial Disparities. Steenland MW, Wilson IB, Matteson KA, Trivedi AN 2021 Dec
The Effect of Continuous Versus Pregnancy-Only Medicaid Eligibility on Routine Postpartum Care in Wisconsin, 2011-2015. DeSisto CL, Rohan A, Handler A, Awadalla SS, Johnson T, Rankin K 2020 Sep
Impact of Statewide Mandatory Medicaid Managed Care (SMMC) Programs on Hospital Obstetric Outcomes. Symum H, Zayas-Castro J 2022 May 9
Association of the Delaware Contraceptive Access Now Initiative with Postpartum LARC Use. Caudillo ML, Hurtado-Acuna C, Rendall MS, Boudreaux M 2022 Aug
Association of Medicaid vs Marketplace Eligibility on Maternal Coverage and Access With Prenatal and Postpartum Care. Eliason EL, Daw JR, Allen HL 2021 Dec 1
Association of the affordable care act Medicaid expansions with postpartum contraceptive use and early postpartum pregnancy. Eliason EL, Spishak-Thomas A, Steenland MW 2022 Sep
Extending Postpartum Medicaid Beyond 60 Days Improves Care Access and Uncovers Unmet Needs in a Texas Medicaid Health Maintenance Organization. Wang X, Pengetnze YM, Eckert E, Keever G, Chowdhry V 2022
Medicaid reimbursement program for immediate postpartum long-acting reversible contraception improves uptake regardless of insurance status. Koch SK, Paul R, Addante AN, Brubaker A, Kelly JC, Raghuraman N, Madden T, Tepe M, Carter EB 2022 Sep
Medicaid expansion and postpartum depressive symptoms: evidence from the 2009-2018 Pregnancy Risk Assessment Monitoring System survey. Austin AE, Sokol RL, Rowland C 2022 Apr
Text Message-Based Breastfeeding Support Compared With Usual Care: A Randomized Controlled Trial. Bender Whitney, Levine Lisa, Durnwald Celeste 2022
Impact of Medicaid Eligibility Changes on Long-acting Reversible Contraception Use in Massachusetts and Maine. Pace Lydia E, Saran Indrani, Hawkins Summer Sherburne 2022

Downloadable Data Content

  • XLSX Project Data