Home Visiting and Six Week Postpartum Visit
Community Medicaid/self-pay obstetric clinics report that only 52% of their patients return for their 6-week postpartum visit. This process improvement project evaluated the improvement strategies of providing patient education, ensuring transportation, and providing an appointment reminder by a postnatal nurse home visiting program on return rates for the 6-week postpartum visit. After creation of an evidence-based educational pamphlet, the postnatal home visiting nurses and schedulers were educated on providing the educational pamphlet, setting up transportation if needed, and calling patients two days before their 6-week visit. First quarter 2017 pre-implementation data and first quarter 2018 post-implementation data about demographics and return rates were collected and outcomes compared. The population demographics of age, race, ethnicity, marital status, parity, payor group, and OB provider group for mothers visited were similar in both groups. In the pre-implementation group (n=172), 91 (52.9%) mothers returned for their 6-week postpartum visit. In the post-implementation group (n=131), 98 (74.8%) mothers returned for their 6-week postpartum visit, an increase of 21.9% (p < .001). Simple strategies such as providing education about the importance of the 6-week postpartum visit, ensuring transportation, and providing reminder phone calls by a nurse home visiting program increased adherence to the 6-week postpartum visit. Improving 6-week postpartum return rates can positively impact health prevention, wellness, and contraception use for the postpartum woman, potentially leading to prevention of unintended pregnancies.
Smith, Ann. (July 2018). Home Visiting and Six Week Postpartum Visit (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/6886.)
Smith, Ann. Home Visiting and Six Week Postpartum Visit. DNP Scholarly Project. East Carolina University, July 2018. The Scholarship. http://hdl.handle.net/10342/6886. May 30, 2020.
Smith, Ann, “Home Visiting and Six Week Postpartum Visit” (DNP Scholarly Project., East Carolina University, July 2018).
Smith, Ann. Home Visiting and Six Week Postpartum Visit [DNP Scholarly Project]. Greenville, NC: East Carolina University; July 2018.
Showing items related by title, author, creator and subject.
Lackey, Kim (2018-04-23)A primary care practice site in western North Carolina manages approximately 200 patients with diabetes per month. There were no pre-planned, tools in place to appropriately monitor, educate, and manage the Diabetes ...
Aeby, Elizabeth Carpenter (East Carolina University, 2013)This master's thesis is comprised of three short film scripts: The Visit, Like Sisters, and Storjka. The Visit, a Depression-era dramatic short film, is filled the realities of hard living in the dust bowl of America's ...
ASSESSING BARRIERS AND FACILITATORS TO PARENTAL VISITATION AND PARENTING ACTIVITIES DURING INFANT HOSPITALIZATION IN A NEONATAL INTENSIVE CARE UNIT AND A SPECIAL CARE NURSERY Forrest, Lauren S (East Carolina University, 2016-12-15)Health and long-term outcomes of neonates hospitalized directly after birth are affected by the work of medical professionals and by parental involvement in care (Vergara, et al., 2006). Research shows that parental ...