Assessing Patient Satisfaction in Immediate Postpartum Birth Control Decision-Making Process

Authors' Affiliations

Nikita Cudjoe, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN.

Location

D.P. Culp Center Ballroom

Start Date

4-5-2024 9:00 AM

End Date

4-5-2024 11:30 AM

Poster Number

125

Name of Project's Faculty Sponsor

Michael Smith

Faculty Sponsor's Department

Health Services Management and Policy

Classification of First Author

Graduate Student-Doctoral

Competition Type

Competitive

Type

Poster Presentation

Presentation Category

Health

Abstract or Artist's Statement

South Carolina (SC) led the way in changing Medicaid and private insurance reimbursement policies to ensure that new mothers have access to the contraceptives they need, especially the long-acting and reversible options, during the immediate postpartum period. The SC Choose Well initiative was utilized to provide additional support for hospitals in providing immediate postpartum contraception care to address the low uptake of women attending their maternal postpartum appointments. However, recent assessments have raised concerns over whether this immediate postpartum contraceptive care in SC is not adequately person-centered. The SC Pregnancy Risk Assessment Monitoring System (PRAMS) surveyed 240 women who delivered live births in 2019-2020 and reported being counseled about contraception in the immediate postpartum setting. These respondents were asked a series of questions to assess their experience with contraceptive care in the immediate postpartum setting. These questions were used to assess aspects of patient satisfaction, including a validated scale to measure the level of person-centered contraceptive counseling (PCCC) respondents received. Statistical Analysis Software V9.4 was used to conduct all descriptive analyses. Results were weighted to account for the PRAMS survey design and to make the data representative of the population giving birth in SC. The majority of women, 77%, expressed complete agreement that they felt empowered to make the best birth control decision for themselves after giving birth. Additionally, 73% of respondents indicated that their providers were attentive to their best interests regarding birth control choices. Out of the total sample size, 78% were very satisfied with the birth control information they received while in the hospital after delivery. Based on the PCCC measure, 67% of the respondents reported receiving person-centered care. There was generally a positive perception and satisfaction with patient-provider interactions and decision-making processes regarding birth control choices in the immediate postpartum setting. This highlights the importance of administering PCCC measures within immediate postpartum care, which has enhanced communication strategies between healthcare providers and patients. Furthermore, it facilitates increased support for postpartum contraceptive decision-making and empowers women as they navigate their birth control choices after giving birth.

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Apr 5th, 9:00 AM Apr 5th, 11:30 AM

Assessing Patient Satisfaction in Immediate Postpartum Birth Control Decision-Making Process

D.P. Culp Center Ballroom

South Carolina (SC) led the way in changing Medicaid and private insurance reimbursement policies to ensure that new mothers have access to the contraceptives they need, especially the long-acting and reversible options, during the immediate postpartum period. The SC Choose Well initiative was utilized to provide additional support for hospitals in providing immediate postpartum contraception care to address the low uptake of women attending their maternal postpartum appointments. However, recent assessments have raised concerns over whether this immediate postpartum contraceptive care in SC is not adequately person-centered. The SC Pregnancy Risk Assessment Monitoring System (PRAMS) surveyed 240 women who delivered live births in 2019-2020 and reported being counseled about contraception in the immediate postpartum setting. These respondents were asked a series of questions to assess their experience with contraceptive care in the immediate postpartum setting. These questions were used to assess aspects of patient satisfaction, including a validated scale to measure the level of person-centered contraceptive counseling (PCCC) respondents received. Statistical Analysis Software V9.4 was used to conduct all descriptive analyses. Results were weighted to account for the PRAMS survey design and to make the data representative of the population giving birth in SC. The majority of women, 77%, expressed complete agreement that they felt empowered to make the best birth control decision for themselves after giving birth. Additionally, 73% of respondents indicated that their providers were attentive to their best interests regarding birth control choices. Out of the total sample size, 78% were very satisfied with the birth control information they received while in the hospital after delivery. Based on the PCCC measure, 67% of the respondents reported receiving person-centered care. There was generally a positive perception and satisfaction with patient-provider interactions and decision-making processes regarding birth control choices in the immediate postpartum setting. This highlights the importance of administering PCCC measures within immediate postpartum care, which has enhanced communication strategies between healthcare providers and patients. Furthermore, it facilitates increased support for postpartum contraceptive decision-making and empowers women as they navigate their birth control choices after giving birth.