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Research ArticleOriginal Research

Characteristics of Mother-Provider Interactions Surrounding Postpartum Return to Work

C. Randall Clinch, Joseph G. Grzywacz, Jenna Tucker, Jill K. Walls and Thomas A. Arcury
The Journal of the American Board of Family Medicine September 2009, 22 (5) 498-506; DOI: https://doi.org/10.3122/jabfm.2009.05.090010
C. Randall Clinch
DO, MS
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Joseph G. Grzywacz
PhD
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Jenna Tucker
BA
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Jill K. Walls
MEd
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Thomas A. Arcury
PhD
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    Figure 1.

    Flow of study participants.

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    Table 1.

    Comparison of Study Sample Versus County Data

    VariableOur SampleCounty Data*
    Maternal age (years [SD])30.3 (5.6)37.4
    Ethnicity (% [n])
        Black30.0 (65)32.8 (24,678)
        Non-Hispanic white70.0 (152)67.2 (50,458)
    Maternal education (% [n])
        <College degree53.0 (115)78.0 (3,611)†
        ≥College degree47.0 (102)22.0 (1,039)†
    Married (% [n])77.0 (167)60.7 (2,824)†
    Work (hours/week [SD])39.6 (5.5)50.3‡
    • * US 2000 Census; Women 15 to 50 years of age who had a birth during the past 12 months, Forsyth County, NC.21

    • † Proportions differ based on results of a Z test for difference in 2 proportions with a 95% confidence value.

    • ‡ Percentage of mothers who worked ≥35 hours per week.

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    Table 2.

    Characteristics Differentiating Working Mothers Having a Return to Work (RTW) Discussion with Their Prenatal Healthcare Provider

    RTW Discussion with Prenatal ProviderP
    YesNo
    Demographics
    Age, years (n [mean])131 (30.2)85 (30.6).74*
    Ethnicity.003†
        Black49 (76.6)15 (23.4)
        Non-Hispanic white82 (53.9)70 (46.1)
    Maternal education.97†
        Less than college degree69 (60.5)45 (39.5)
        College degree or higher62 (60.8)40 (39.2)
    Marital status.02†
        Currently married94 (56.3)73 (43.7)
        Single37 (75.5)12 (24.5)
    Household income.79†
        Bottom quartile31 (67.4)15 (32.6)
        2nd quartile32 (64.0)18 (36.0)
        3rd quartile29 (59.2)20 (40.8)
        Top quartile30 (58.8)21 (41.2)
    Poverty status.01†
        Below poverty18 (85.7)3 (14.3)
        Above poverty113 (57.9)82 (42.1)
    Personal characteristics
    Type of childcare.05†
        Family member61 (63.5)35 (36.5)
        Formal daycare63 (63.0)37 (37.0)
        Other7 (35.0)13 (65.0)
    Breastfeeding only.62†
        Yes27 (64.3)15 (35.7)
        No104 (60.1)69 (39.9)
    Perceived SES.52†
        Low65 (58.6)46 (41.4)
        High66 (62.9)39 (37.1)
    Economic Hardship.89†
        Less hardship66 (60.0)44 (40.0)
        More hardship64 (61.0)41 (39.0)
    • All values provided as n (%) unless otherwise indicated.

    • * Independent samples t test.

    • † χ2 test.

    • SES, socioeconomic status.

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    Table 3.

    Characteristics Differentiating Working Mothers Having a Return to Work (RTW) Discussion with Their Infant's Healthcare Provider

    RTW Discussion with Infant's Healthcare ProviderP
    YesNo
    Demographics
    Age, years (n [mean])125 (30.1)92 (30.5).32*
    Ethnicity.46†
        Black35 (53.8)30 (46.2)
        Non-Hispanic white90 (59.2)62 (40.8)
    Maternal education.001†
        Less than college degree53 (42.4)62 (67.4)
        College degree or higher72 (57.6)30 (32.6)
    Marital status.22†
        Currently married100 (59.9)67 (40.1)
        Single25 (50.0)25 (50.0)
    Household income.05†
        Bottom quartile23 (48.9)24 (51.1)
        2nd quartile24 (48.0)26 (52.0)
        3rd quartile34 (69.4)15 (30.6)
        Top quartile34 (66.7)17 (33.3)
    Poverty status.06†
        Below poverty8 (38.1)13 (61.9)
        Above poverty117 (59.7)79 (40.3)
    Personal characteristics
    Type of childcare.45†
        Family member53 (54.6)44 (45.4)
        Formal daycare62 (62.0)38 (38.0)
        Other10 (50.0)10 (50.0)
    Breastfeeding only.09†
        Yes29 (69.0)13 (31.0)
        No95 (54.6)79 (45.4)
    Perceived SES.21†
        Low60 (53.6)52 (46.4)
        High65 (61.9)40 (38.1)
    Economic Hardship.23†
        Less hardship68 (61.8)42 (38.2)
        More hardship57 (53.8)49 (46.2)
    • All values provided as n (%) unless otherwise indicated.

    • * Independent samples t test.

    • † χ2 test.

    • SES, socioeconomic status.

    • View popup
    Table 4.

    Characteristics of Return to Work Discussions with Prenatal and Infant Healthcare Providers

    RTW Discussion with Prenatal Care Provider (n = 131)RTW Discussion with Infant's Healthcare Provider (n = 125)
    Should prenatal provider discuss RTW?*
        Yes119 (65.7)n/a
        No11 (32.4)n/a
    Mother initiated RTW discussion
        Yes80 (61.1)n/a
        No51 (38.9)n/a
    Usefulness of RTW discussion:
        Very useful32 (24.4)36 (29.0)
        Somewhat useful52 (39.7)61 (49.2)
        Not at all useful47 (35.9)27 (21.8)
    Content of RTW discussions*†
        Maternal health or well-being24 (19.5)10 (8.4)
        Infant health or development13 (10.6)40 (33.6)
        Both29 (23.6)27 (22.7)
        Other57 (46.3)42 (35.3)
    Frequency of RTW discussions
        Once54 (41.2)n/a
        2 to 3 times63 (48.1)n/a
        >3 times14 (10.7)n/a
    • Data provide as n (%).

    • * Column may not total due to missing data.

    • † Data for this question only was collected at 4 months and 8 months.

    • RTW, return to work.

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The Journal of the American Board of Family Medicine: 22 (5)
The Journal of the American Board of Family Medicine
Vol. 22, Issue 5
September-October 2009
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Characteristics of Mother-Provider Interactions Surrounding Postpartum Return to Work
C. Randall Clinch, Joseph G. Grzywacz, Jenna Tucker, Jill K. Walls, Thomas A. Arcury
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 498-506; DOI: 10.3122/jabfm.2009.05.090010

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Characteristics of Mother-Provider Interactions Surrounding Postpartum Return to Work
C. Randall Clinch, Joseph G. Grzywacz, Jenna Tucker, Jill K. Walls, Thomas A. Arcury
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 498-506; DOI: 10.3122/jabfm.2009.05.090010
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