Effect of Previous Perinatal Loss on Health Care Utilization in Subsequent Pregnancy

2.50
Hdl Handle:
http://hdl.handle.net/10755/308312
Category:
Abstract
Type:
Presentation
Title:
Effect of Previous Perinatal Loss on Health Care Utilization in Subsequent Pregnancy
Author(s):
Bicking Kinsey, Cara; Baptiste-Roberts, Kesha; Zhu, Junjia; Kjerulff, Kristen H.
Lead Author STTI Affiliation:
N/A
Author Details:
Cara Bicking Kinsey, MS, RNC, cxb935@psu.edu; Kesha Baptiste-Roberts, PhD, MPH; Junjia Zhu, PhD; Kristen H. Kjerulff, PhD, MA
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Background. Women with a history of perinatal loss report feeling emotionally guarded during subsequent pregnancy and may be at increased risk for pregnancy-related anxiety. Many women who are pregnant after perinatal loss report a fear of losing the baby.  This fear and anxiety may lead to greater health care utilization compared to women without previous perinatal loss. However, limited research has examined health care utilization in women pregnant after perinatal loss.

Methods. We examined the effect of previous perinatal loss on health care utilization during a subsequent pregnancy in 2854 pregnant women ages 18-36 expecting their first live-born baby. Self-reported use of health resources during pregnancy were compared for women with a history of two or more perinatal losses and women with one or no perinatal loss, adjusting for maternal age, smoking status, and use of fertility treatment or advice.

Results. Women with two or more previous perinatal losses received their first prenatal care visit one week earlier than women with one or no previous losses (7.0 weeks vs. 8.2 weeks, respectively; p<0.001).  Women with two or more previous perinatal losses also had twice the odds of third trimester emergency department visit (aOR=2.37, 95% CI 1.34, 4.19) and an increased odds of prenatal hospitalizations overall (aOR=1.70, 95% CI 1.04, 2.79).  However, the two groups of women did not differ with respect to hospital admissions with an overnight stay, number of outpatient office visits in the final four weeks before delivery, or number of outpatient procedures (excluding ultrasound).

Conclusions. Women with two or more perinatal losses were twice as likely to use ED services in their third trimester, but did not have an increase in outpatient office visits, hospital overnight stays or outpatient procedures, suggesting that fear and anxiety may be related to increased utilization of certain health care resources.

Keywords:
Perinatal loss; Health care utilization; Pregnancy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffect of Previous Perinatal Loss on Health Care Utilization in Subsequent Pregnancyen_GB
dc.contributor.authorBicking Kinsey, Caraen_GB
dc.contributor.authorBaptiste-Roberts, Keshaen_GB
dc.contributor.authorZhu, Junjiaen_GB
dc.contributor.authorKjerulff, Kristen H.en_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsCara Bicking Kinsey, MS, RNC, cxb935@psu.edu; Kesha Baptiste-Roberts, PhD, MPH; Junjia Zhu, PhD; Kristen H. Kjerulff, PhD, MAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308312-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Background. </b>Women with a history of perinatal loss report feeling emotionally guarded during subsequent pregnancy and may be at increased risk for pregnancy-related anxiety. Many women who are pregnant after perinatal loss report a fear of losing the baby.  This fear and anxiety may lead to greater health care utilization compared to women without previous perinatal loss. However, limited research has examined health care utilization in women pregnant after perinatal loss. <p><b>Methods. </b>We examined the effect of previous perinatal loss on health care utilization during a subsequent pregnancy in 2854 pregnant women ages 18-36 expecting their first live-born baby. Self-reported use of health resources during pregnancy were compared for women with a history of two or more perinatal losses and women with one or no perinatal loss, adjusting for maternal age, smoking status, and use of fertility treatment or advice. <p><b>Results. </b>Women with two or more previous perinatal losses received their first prenatal care visit one week earlier than women with one or no previous losses (7.0 weeks vs. 8.2 weeks, respectively; p<0.001).  Women with two or more previous perinatal losses also had twice the odds of third trimester emergency department visit (aOR=2.37, 95% CI 1.34, 4.19) and an increased odds of prenatal hospitalizations overall (aOR=1.70, 95% CI 1.04, 2.79).  However, the two groups of women did not differ with respect to hospital admissions with an overnight stay, number of outpatient office visits in the final four weeks before delivery, or number of outpatient procedures (excluding ultrasound). <p><b>Conclusions. </b>Women with two or more perinatal losses were twice as likely to use ED services in their third trimester, but did not have an increase in outpatient office visits, hospital overnight stays or outpatient procedures, suggesting that fear and anxiety may be related to increased utilization of certain health care resources.en_GB
dc.subjectPerinatal lossen_GB
dc.subjectHealth care utilizationen_GB
dc.subjectPregnancyen_GB
dc.date.available2013-12-19T17:29:40Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:40Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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