Postpartum care and contraception provided to women with gestational and preconception diabetes in California's Medicaid program

To compare rates of postpartum care and contraception provided to women with gestational or preconception diabetes mellitus to women with no known diabetes mellitus. A retrospective cohort study of 199,860 women aged 15–44 years who were continuously enrolled in California's Medicaid program, M...

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Bibliographic Details
Published in:Contraception (Stoneham) 2017-12, Vol.96 (6), p.432-438
Main Authors: Schwarz, Eleanor Bimla, Braughton, Monica Y., Riedel, Julie Cross, Cohen, Susannah, Logan, Julia, Howell, Mike, Thiel de Bocanegra, Heike
Format: Article
Language:English
Subjects:
Adolescent
Adult
California
Contraception
Diabetes
Diabetes, Gestational
Female
Gestational diabetes
Humans
Medicaid
Postnatal Care
Postpartum
Pregnancy
Pregnancy in Diabetics
Retrospective Studies
United States
Women
Young Adult
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Summary:To compare rates of postpartum care and contraception provided to women with gestational or preconception diabetes mellitus to women with no known diabetes mellitus. A retrospective cohort study of 199,860 women aged 15–44 years who were continuously enrolled in California's Medicaid program, Medi-Cal, from 43 days prior to 99 days after delivering in 2012. Claims for postpartum clinic visits and contraceptive supplies were compared for 11,494 mothers with preconception diabetes, 17,970 mothers with gestational diabetes, and 170,396 mothers without diabetes. Multivariable logistic regression was used to control for maternal age, race/ethnicity, primary language, residence in a primary care shortage area, state-funded healthcare program and Cesarean delivery, when examining the effects of diabetes on postpartum care and contraception. Although postpartum clinic visits were more common with diabetes (55% preconception, 55% gestational, 48% no diabetes, p=
ISSN:0010-7824
1879-0518
DOI:10.1016/j.contraception.2017.08.006