Health Care Use by Commercially Insured Postpartum and Nonpostpartum Women in the United States.

摘要: Objective To compare the type, frequency, and timing of health care use among commercially insured postpartum nonpostpartum women. Methods This retrospective cohort study used data from a large national commercial claims database. Women between 18 44 years age who gave birth in 2016 (n=149,563) women were neither pregnant nor 2015 2017 (n=2,048,831) (nonpostpartum) included. We examined hospitalization, preventive visits, problem emergency department (ED) visits during early period (less than 21 days after childbirth), (21-60 postpartum), extended (61-365 childbirth). Visits assessed time periods equivalent duration. Results Almost 24% had visit period, compared with 19.7% (adjusted difference 4.8 percentage points [95% CI 4.6-5.0]). Approximately 3% an ED visit, more double 2.3 2.2-2.4]). Both remained elevated relative to periods. Although likely receive periods, only 43% rate 1.8 (95% -2.1 -1.5) lower that Adjusted hospitalization rates (0.8%), (0.3%), (1.4%) higher those (0.1%, 0.2%, 1.6%, respectively). Conclusions Commercially women, including inpatient care. Differences are largest persist beyond 60 postpartum.