Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study

Stephanie E. Rosener, Wendy B. Barr, Daniel J. Frayne, Joshua H. Barash, Megan E. Gross and Ian M. Bennett
The Annals of Family Medicine July 2016, 14 (4) 350-355; DOI: https://doi.org/10.1370/afm.1933
Stephanie E. Rosener
1Middlesex Hospital Family Medicine Residency Program, Middletown, Connecticut
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: stephanie.rosener@midhosp.org
Wendy B. Barr
2Lawrence Family Medicine Residency Program, Lawrence, Massachusetts
MD, MPH, MSCE
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daniel J. Frayne
3MAHEC Family Medicine Residency Program, Asheville, North Carolina
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joshua H. Barash
4Department of Family & Community Medicine, Jefferson Medical College, Philadelphia, Pennsylvania
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Megan E. Gross
5Messiah College, Mechanicsburg, Pennsylvania
MPH, BSN, RN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ian M. Bennett
6Department of Family Medicine, University of Washington, Seattle, Washington
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

  • Additional Files
    • View popup
    Table 1

    Characteristics of Respondents (N = 658)

    Maternal CharacteristicaRespondents, %
    Race/ethnicity
     White32.7
     Black35.0
     Asian3.0
     Other28.3
     Hispanic32.9
    Insurance status
     Government73.6
     Private15.8
     Self-pay10.6
    Medical history
     Diabetes2.2
     Hypertension6.1
     Seizures1.6
     Preterm birth16.6
    Survey language preference
     English84.2
     Spanish15.8
    Source of care
     Received pregnancy care from child’s physician57.0
     Receives care from same practice as child (shared medical home)74.2
    • ↵a Mean age was 26.5 years.

    • View popup
    Table 2

    Maternal Health, Behaviors, Beliefs, and Related Interconception Care

    CharacteristicRespondents, %
    Depression
     History of depression (ever)19.1
     History of other psychiatric condition12.7
     History of depression since index child’s birth59.0
     Depression screening performed16.1
     Depression addressed (if depressed since index child’s birth)75.3
    Folic acid
     Not currently using folic acid supplement58.1
     Folic acid use addressed44.4
    Smoking
     Currently smoking24.5
     Smoking addressed (if currently smoking)80.3
    Family planning
     Pregnant since index child’s birth16.8
     Currently using contraception73.7
     Family planning addressed70.6
    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
    • View popup
    Table 3

    Comparison of Health Advice and Beliefs Among Mothers by Source of Care

    CharacteristicRespondents, % Unadjusted ORAdjusted ORbAdjusted P Value
    Same PracticeaDifferent Practice
    Depression
     Depression screening done63.945.62.113.04.000
     Report receiving some treatment advice (if told had depression)76.071.41.271.27.67
    Folic acid use addressed45.242.21.131.39.12
    Smoking addressed (if currently smoking)80.578.31.151.15.81
    Family planning addressed76.157.12.442.31.00
    Health belief: “I am willing to take advice about my health that affects my children from my child’s doctor.”94.694.80.970.97.94
    • OR = odds ratio.

    • ↵a Shared medical home.

    • ↵b Controlled for intraclass correlation by location.

Additional Files

  • Tables
  • 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.

PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 14 (4)
The Annals of Family Medicine: 14 (4)
Vol. 14, Issue 4
July/August 2016
  • Table of Contents
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
  • In Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
11 + 9 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study
Stephanie E. Rosener, Wendy B. Barr, Daniel J. Frayne, Joshua H. Barash, Megan E. Gross, Ian M. Bennett
The Annals of Family Medicine Jul 2016, 14 (4) 350-355; DOI: 10.1370/afm.1933

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Interconception Care for Mothers During Well-Child Visits With Family Physicians: An IMPLICIT Network Study
Stephanie E. Rosener, Wendy B. Barr, Daniel J. Frayne, Joshua H. Barash, Megan E. Gross, Ian M. Bennett
The Annals of Family Medicine Jul 2016, 14 (4) 350-355; DOI: 10.1370/afm.1933
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Australian womens experiences and perceptions of interconception care: a qualitative descriptive study
  • Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme
  • Perinatal depression
  • Delivering Interconception Care During Well-Child Visits: An IMPLICIT Network Study
  • In This Issue: Pragmatic Approaches to Population and Clinical Problems
  • Google Scholar

More in this TOC Section

  • Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India
  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
Show more Original Research

Similar Articles

Subjects

  • Domains of illness & health:
    • Prevention
    • Health promotion
  • Person groups:
    • Women's health
    • Children's health
  • Methods:
    • Quantitative methods

Keywords

  • mothers
  • infant
  • preconception care
  • premature birth
  • pregnancy
  • depression
  • smoking
  • folic acid
  • contraception
  • continuity of patient care
  • practice-based research
  • primary care

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine