Article Figures & Data
Tables
Maternal Characteristica Respondents, % Race/ethnicity White 32.7 Black 35.0 Asian 3.0 Other 28.3 Hispanic 32.9 Insurance status Government 73.6 Private 15.8 Self-pay 10.6 Medical history Diabetes 2.2 Hypertension 6.1 Seizures 1.6 Preterm birth 16.6 Survey language preference English 84.2 Spanish 15.8 Source of care Received pregnancy care from child’s physician 57.0 Receives care from same practice as child (shared medical home) 74.2 ↵a Mean age was 26.5 years.
Characteristic Respondents, % Depression History of depression (ever) 19.1 History of other psychiatric condition 12.7 History of depression since index child’s birth 59.0 Depression screening performed 16.1 Depression addressed (if depressed since index child’s birth) 75.3 Folic acid Not currently using folic acid supplement 58.1 Folic acid use addressed 44.4 Smoking Currently smoking 24.5 Smoking addressed (if currently smoking) 80.3 Family planning Pregnant since index child’s birth 16.8 Currently using contraception 73.7 Family planning addressed 70.6 Health beliefs “I believe that my health affects the health of my children and children from future pregnancies.” 82.9 “I am willing to take advice about my health that affects my children from my child’s doctor.” 94.7 Characteristic Respondents, % Unadjusted OR Adjusted ORb Adjusted P Value Same Practicea Different Practice Depression Depression screening done 63.9 45.6 2.11 3.04 .000 Report receiving some treatment advice (if told had depression) 76.0 71.4 1.27 1.27 .67 Folic acid use addressed 45.2 42.2 1.13 1.39 .12 Smoking addressed (if currently smoking) 80.5 78.3 1.15 1.15 .81 Family planning addressed 76.1 57.1 2.44 2.31 .00 Health belief: “I am willing to take advice about my health that affects my children from my child’s doctor.” 94.6 94.8 0.97 0.97 .94
Additional Files
Supplemental Appendixes 1-4
Supplemental appendixes 1-4
Files in this Data Supplement:
- Supplemental data: Appendixes 1-4 - PDF file.
The Article in Brief
Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study
Stephanie E. Rosener , and colleagues
Background Interconception Care (ICC)--care provided to mothers between pregnancies--can improve health outcomes for women, newborns and children. Well-child visits are an opportunity for interconception care of mothers prior to their next pregnancy. This study investigates ICC practices by family physicians at well-child visits.
What This Study Found A substantial portion of mothers accompanying their children to well-child visits have risk factors for adverse subsequent birth outcomes. Family physicians routinely provide key elements of interconception care at well-child visits, and mothers are highly receptive to advice from their child's physician even if they receive primary care elsewhere. Seventeen percent of mothers surveyed reported a previous preterm birth, 19 percent reported a history of depression, 25 percent were smoking, 26 percent were not using contraception, and 58 percent were not taking folic acid. Regarding advice, 80 percent of mothers who smoked were counseled to quit, 59 percent reported depression screening, 71 percent discussed contraception, and 44 percent discussed folic acid. Most mothers were willing to accept health advice from their child's physician regardless of whether they shared a medical home.