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OtherFamily Medicine and the Health Care System

Maternal Postpartum Health Care Utilization and the Effect of Minnesota Early Discharge Legislation

Diane J. Madlon-Kay and Terese A. DeFor
The Journal of the American Board of Family Practice July 2005, 18 (4) 307-311; DOI: https://doi.org/10.3122/jabfm.18.4.307
Diane J. Madlon-Kay
MD, MS
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Terese A. DeFor
MS
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    Table 1.

    Percentage of Mothers Receiving an Early Follow-up Visit Relative to the Minnesota Length of Stay Legislation*

    Length of StayVaginal BirthCesarean Birth
    Entire Study PeriodBefore LegislationAfter LegislationEntire Study PeriodBefore LegislationAfter Legislation
    Short Stay1902/5081 (37%)1034/2922 (35%)868/2159† (40%)934/2391 (39%)248/864 (29%)686/1527† (45%)
    Longer Stay4609/14432§ (32%)448/2713 (17%)4161/11723† (35%)438/1036 (42%)43/126 (34%)395/910‡ (43%)
    • * An early follow-up visit was a home or clinic visit within 1 week of discharge; a short stay was 0 to 1 day after vaginal birth and 2 to 3 days after cesarean birth.

    • † P <.001, compared with proportion observed before legislation.

    • ‡ P =.05, compared with proportion observed before legislation.

    • § P <.001, compared with proportion of women with vaginal births and short stays.

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    Table 2.

    Associations of Postpartum Length of Stay and Early Follow-up with Selected Maternal Outcomes*

    PredictorOne or More Urgent Care or Emergent Care Visits within 2 Months of Discharge Adjusted OR (95% CI)One or More Readmissions within 1 Month of Discharge Adjusted OR (95% CI)
    Length of stay in days1.08 (1.03 to 1.13)1.11 (1.01 to 1.22)
    Early follow-up† (any vs none)2.19 (1.87 to 2.55)3.71 (2.61 to 5.26)
    • * Models included length of stay, early follow-up, and maternal age (data not shown).

    • † Early follow-up defined as a home or clinic visit within 1 week of discharge.

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The Journal of the American Board of Family Practice: 18 (4)
The Journal of the American Board of Family Practice
Vol. 18, Issue 4
July-August 2005
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Maternal Postpartum Health Care Utilization and the Effect of Minnesota Early Discharge Legislation
Diane J. Madlon-Kay, Terese A. DeFor
The Journal of the American Board of Family Practice Jul 2005, 18 (4) 307-311; DOI: 10.3122/jabfm.18.4.307

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Maternal Postpartum Health Care Utilization and the Effect of Minnesota Early Discharge Legislation
Diane J. Madlon-Kay, Terese A. DeFor
The Journal of the American Board of Family Practice Jul 2005, 18 (4) 307-311; DOI: 10.3122/jabfm.18.4.307
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