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Postpartum Visit Attendance in the United States: A Systematic Review
Open accessAbstract
Introduction Adequate postpartum care, including the comprehensive postpartum visit, is critical for long-term maternal health and the reduction of maternal mortality, particularly for people who may lose insurance coverage postpartum. However, variation in previous estimates of postpartum visit attendance in the United States makes it difficult to assess rates of attendance and associated characteristics.Methods We conducted a systematic review of estimates of postpartum visit attendance. We searched PubMed, CINAHL, PsycInfo, and Web of Science for articles published in English from 1995 to 2020 using search terms to capture postpartum visit attendance and use in the United States.Results Eighty-eight studies were included in this analysis. Postpartum visit attendance rates varied substantially, from 24.9% to 96.5%, with a mean of 72.1%. Postpartum visit attendance rates were higher in studies using patient self-report than those using administrative data. The number of articles including an estimate of postpartum visit attendance increased considerably over the study period; the majority were published in 2015 or later.Conclusions Our findings suggest that increased systematic data collection efforts aligned with postpartum care guidelines and attention to postpartum visit attendance rates may help to target policies to improve maternal wellbeing. Most estimates indicate that a substantial proportion of women do not attend at least one postpartum visit, potentially contributing to maternal morbidity as well as preventing a smooth transition to future well-woman care. Estimates of current postpartum visit attendance are important for informing efforts that seek to increase postpartum visit attendance rates and to improve the quality of care.
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“Both the intervention and control groups demonstrated equally high attendance rates, which were higher than the nationally reported average of 72%.”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [14]
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“Despite these guidelines, most patients receive only the traditional, single visit around 6 weeks postpartum, and up to 40% fail to attend this appointment, 13 -15 leaving potentially critical maternal health conditions unaddressed.”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [14]
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“It is well‐established that a significant proportion of postpartum women do not attend any postpartum visits [63].”
From Factors associated with postpartum depression symptoms following antepartum hospitalization (2026) · cites this paper as [63]
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Metadata
- Authors
- Attanasio, L. B., Ranchoff, B. L., Cooper, M. I., & Geissler, K. H.
- Affiliations
- University of Massachusetts Amherst (US)
- Corresponding author
- Attanasio, Laura B.
- Venue
- Women's Health Issues
- Publisher
- Elsevier BV
- Published
- 2022-07
- Volume
- 32
- Issue
- 4
- Pages
- 369-375
- ISSN
- 1049-3867 (ISSN-L)
- PMC
- PMC9283204
- OpenAlex
- W4221127606
- Cited by
- 127
- References
- 20
- Citations by year
- 2026: 33 · 2025: 43 · 2024: 30 · 2023: 16 · 2022: 5
- FWCI
- 4.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Women s Health Issues (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R56HL151636)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- postpartum visit attendance, postpartum care, maternal health, maternal mortality, patient self-report, administrative data, maternal morbidity, well-woman care, quality of care
- MeSH terms
- Maternal Health, Female, Humans, Postnatal Care, Pregnancy, United States, Insurance Coverage, Postpartum Period
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