Skip to main content

Advertisement

Log in

Postpartum Health and Wellness: A Call for Quality Woman-Centered Care

  • Commentary
  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Introduction The first 3 months after giving birth can be a challenging time for many women. The Postpartum Health and Wellness special issue explores this period, one that is often overlooked and under-researched. Methods This issue is designed to bring greater focus to the need for woman-centered care during the postpartum period. Articles in this issue focus on four key areas: (1) the postpartum visit and access to care, (2) the content of postpartum care and postpartum health concerns, (3) interconception care including contraception, and (4) policy, systems, and measurement. Results The submissions highlight deficits in the provision of comprehensive care and services during a critical period in women’s lives. The research highlighted in this issue supports the recommendation that Maternal and Child Health leaders collaborate to create woman-centered postpartum services that are part of a coordinated system of care. Conclusion In order to achieve optimal health care in the postpartum period it is becoming more apparent that increased flexibility of services, cross-training of providers, a “no wrong door” approach, new insurance and work-place policy strategies, improved communication, and effective coordinated support within a system that values all women and families is required.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Berenson, A. B., et al. (2016). Implementation of a postpartum HPV vaccination program in a southeast Texas hospital: A qualitative study evaluating health care provider acceptance. Maternal and Child Health Journal. doi:10.1007/s10995-016-2030-0.

  • Bohrer, J., & Ehrenthal, D. B. (2015). Other adverse pregnancy outcomes and future chronic disease. Seminars in Perinatology, 39(4), 259–263. http://doi.org/10.1053/j.semperi.2015.05.003.

  • Bryant, A., et al. (2016). Women’s use of health care in the first 2 years postpartum: Occurrence and correlates. Maternal and Child Health Journal. doi:10.1007/s10995-016-2168-9.

  • Caskey, R., Stumbras, K., Rankin, K., Osta, A., Haider, S., & Handler, A. (2016). A novel approach to postpartum contraception: A pilot project of pediatricians’ role during the well-baby visit. Contraception and Reproductive Medicine, 1(1), 1–8. http://doi.org/10.1186/s40834-016-0018-1.

  • Centers for Disease Control and Prevention (CDC). (2013). Pregnancy risk assessment and monitoring system. Retrieved from http://www.cdc.gov/prams/. Accessed 29 July 2016.

  • Centers for Disease Control and Prevention (CDC). (2014). Breastfeeding report card United States 2014, 1–8. Retrieved from http://www.cdc.gov/breastfeeding/pdf/2014breastfeedingreportcard.pdf.

  • Cleland, J., Shah, I. H., & Benova, L. (2015). A fresh look at the level of unmet need for family planning in the postpartum period, its causes and program implications. International Perspectives On Sexual & Reproductive Health, 41(3), 155–162.

    Article  Google Scholar 

  • Cofer, F. G., et al. (2016). Interpregnancy interval and childbirth outcomes in California, 2007–2009. Maternal and Child Health Journal. doi:10.1007/s10995-016-2180-0.

  • Declercq, E., Sakala, C., Corry, M., Applebaum, S., & Herrlich, A. (2013). Listening to mothers III: Pregnancy and birth. New York: Childbirth Connection.

    Google Scholar 

  • DiClemente, C., Dolan-Mullen, P., & Windsor, R. (2000). The process of pregnancy smoking cessation: Implications for interventions. Tobacco Control, 9(3), iii16–iii21.

    PubMed  PubMed Central  Google Scholar 

  • Dunlop, A. L., et al. (2016). Maternal health risk assessment and behavioral intervention in the NICU setting following very low birth weight delivery. Maternal and Child Health Journal. doi:10.1007/s10995-016-2183-x.

  • Durnwald, C. (2015). Gestational diabetes: Linking epidemiology, excessive gestational weight gain, adverse pregnancy outcomes, and future metabolic syndrome. Seminars in Perinatology, 39(4), 254–258. http://doi.org/http://dx.doi.org/10.1053/j.semperi.2015.05.002.

  • Fahey, J., & Shenassa, E. (2013). Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. Journal of Midwifery & Women’s Health, 58, 613–621. doi:10.1111/jmwh.12139.

    Article  Google Scholar 

  • Gilmore, L. A., Klempel-Donchenko, M., & Redman, L. M. (2015). Pregnancy as a window to future health: Excessive gestational weight gain and obesity. Seminars in Perinatology, 39(4), 296–303. http://doi.org/http://dx.doi.org/10.1053/j.semperi.2015.05.009.

  • Guerra-Reyes, L., et al. (2016). Postpartum health info seeking using mobile phones: Experiences of low income mothers. Maternal and Child Health Journal.

  • Hajek, P., West, R., Lee, A., Fould, J., Owen, L., & Eiser, J. R. (2001). Randomized controlled trial of a midwife delivered brief smoking cessation intervention in pregnancy. Addiction (Abingdon, England), 96, 485–494.

    Article  CAS  Google Scholar 

  • Hamilton, B. E., Martin, J. A., Osterman, M. J. K. S., Curtin, S. C., & Mathews, T. J. (2014). National vital statistics reports, volume 64, number 12, Accessed 23 Dec 2015.

  • Henderson, V., et al. (2016). Understanding factors associated with postpartum visit attendance and contraception choices: Listening to low-income postpartum women and health care providers. Maternal and Child Health Journal. doi:10.1007/s10995-016-2044-7.

  • Kahn, R. S., Certain, L., & Whitaker, R. C. (2002). A reexamination of smoking before, during, and after pregnancy. American Journal of Public Health, 92, 1801–1808.

    Article  PubMed  PubMed Central  Google Scholar 

  • Klaman, S. L., et al. (2016). Prevalence of perinatal depression in the military: A systematic review of the literature. Maternal and Child Health Journal. doi:10.1007/s10995-016-2172-0.

  • Kleppel, et al. (2016). AWOHNN/ACOG paper.

  • Lelong, N., Kaminski, M., Saurel-Cubizolles, M. J., & Bouvier-Colle, M. H. (2001). Postpartum return to smoking among usual smokers who quit during pregnancy. European Journal of Public Health, 1, 334–339.

    Article  Google Scholar 

  • Martin, R. (2016). MomsRising—parental leave policy.

  • Muzik, M., et al. (2016). Enhancing breastfeeding among african american women through healthcare support: A focus group study.

  • National Quality Forum. (2016). Perinatal and reproductive health 2015–2016 draft report for comment.

  • Quobadi, M., et al. (2016). The effect of stressful life events on postpartum depression: Findings from the 2009–2011 Mississippi pregnancy risk assessment monitoring system. Maternal and Child Health Journal. doi:10.1007/s10995-016-2028-7

  • Rankin, K. M., et al. (2016a). Healthcare utilization in the postpartum period among Illinois women with medicaid paid claims for delivery, 2009–2010. Maternal and Child Health Journal. doi10.1007/s10995-016-2043-8.

  • Rankin, K. M., et al. (2016b). IPP LARC implementation.

  • Reddy, U., Saade, G., & Louis, J. (2015). Pregnancy as a window to future healthtopics. Seminars in Perinatology, 39(4), A1. http://doi.org/http://dx.doi.org/10.1053/S0146-0005(15)00060-9.

  • Rosenar, S., Barr, W., Grayne, D., Barash, J., Gross, G., & Bennett, I. (2016). Interconception care for mothers during well-child visits with family physicians: An implicit network study. Annals of Family Medicine.

  • Shellhass, C. M., et al. (2016). The ohio gestational diabetes postpartum care learning collaborative: Development of a quality improvement initiative to improve systems of care for women. Maternal and Child Health Journal. doi:10.1007/s10995-016-2170-2.

  • Sipjkens, M. K., et al. (2016). Facilitators and barriers for successful implementation of interconception care in preventive child health care services in the Netherlands. Maternal and Child Health Journal. doi:10.1007/s10995-016-2046-5.

  • Stampfel, et al. (2016). Report from the Postpartum Think Tank meeting—postpartum visit as a missed opportunity—strategies for change.

  • Stumbras, K., et al. (2016). Guidelines and interventions related to the postpartum visit for low-risk postpartum women in high and upper middle income countries. Maternal and Child Health Journal. doi:10.1007/s10995-016-2053-6.

  • Thiel De Bocanegra, H., Chang, R., Howell, M., & Darney, P. (2014). Interpregnancy intervals: Impact of postpartum contraceptive effectiveness and coverage. American Journal of Obstetrics and Gynecology, 210(4), 311.e1–311.e8. http://doi.org/10.1016/j.ajog.2013.12.020.

  • U.S. Department of Health and Human Services. (2012). Healthy People 2020: Summary of objectives: Maternal, infant, and child health. 2010, 1–19. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/pdfs/maternalchildhealth.pdf.

  • U.S. Department of Health and Human Services. (2015). Health resources and services administration promoting maternal and child health through health text messaging: An evaluation of the Text4baby program—final report. Rockville, Maryland. Retrieved from http://www.hrsa.gov/healthit/txt4tots/text4babyfinalreport.pdf. N = 707.

  • Verbiest, S., et al. (2016). Postpartum health services requested by mothers with newborns receiving intensive care. Maternal and Child Health Journal. doi:10.1007/s10995-016-2045-6.

  • Wilcox, A., et al. (2016). Predictors of non-attendance to the postpartum follow up visit. Maternal and Child Health Journal. doi:10.1007/s10995-016-2184-9.

Download references

Acknowledgments

We would like to thank Megan Canady, graduate student at the University of North Carolina at Chapel Hill Schools of Social Work and Public Health for her assistance with this manuscript. We would also like to acknowledge the W.K. Kellogg Foundation for their support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah Verbiest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Verbiest, S., Bonzon, E. & Handler, A. Postpartum Health and Wellness: A Call for Quality Woman-Centered Care. Matern Child Health J 20 (Suppl 1), 1–7 (2016). https://doi.org/10.1007/s10995-016-2188-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-016-2188-5

Keywords

Navigation