@article{Li:2022:10.1136/jech-2021-216640,
author = {Li, Y and kurinczuk, JJ and Gale, C and Siassakos, D and Carson, C},
doi = {10.1136/jech-2021-216640},
journal = {Journal of Epidemiology and Community Health},
pages = {239--246},
title = {Evidence of disparities in the provision of the maternal postpartum six week check in primary care in England, 2015- 2018: an observational study using the Clinical Practice Research Datalink (CPRD)},
url = {http://dx.doi.org/10.1136/jech-2021-216640},
volume = {76},
year = {2022}
}

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TY  - JOUR
AB  - Background A maternal postpartum six-week check (SWC) with a General Practitioner (GP) is now considered an essential service in England, a recent policy change intended to improve women’s health. We aimed to provide an up-to-date snapshot of the prevalence of SWC prior to the policy change as a baseline, and to explore factors associated with having a late or no check. Methods We conducted a cohort study using primary care records in England (Clinical Practice Research Datalink (CPRD)). 34,337 women who gave birth between 1st July 2015 and 30th June 2018 and had ≥12 weeks of follow-up postpartum, were identified in the CPRD Pregnancy Register. The proportion who had evidence of a SWC with a GP was calculated, and regression analysis was used to assess the association between women’s characteristics and risks of a late or no check.Results Sixty-two percent (95%CI: 58%-67%) of women had a SWC recorded at their GP practice within 12 weeks postpartum, another 27% had other consultations. Forty percent had a SWC at the recommended 6-8 weeks, 2% earlier and 20% later. A late or no check was more common among younger women, mothers of preterm babies, or those registered in more deprived areas.Conclusions Nearly 40% of women did not have a postpartum SWC recorded. Provision or uptake was not equitable; younger women and those in more deprived areas were less likely to have a record of such check, suggesting postpartum care in general practice may be missing some women who need it most.
AU  - Li,Y
AU  - kurinczuk,JJ
AU  - Gale,C
AU  - Siassakos,D
AU  - Carson,C
DO  - 10.1136/jech-2021-216640
EP  - 246
PY  - 2022///
SN  - 0143-005X
SP  - 239
TI  - Evidence of disparities in the provision of the maternal postpartum six week check in primary care in England, 2015- 2018: an observational study using the Clinical Practice Research Datalink (CPRD)
T2  - Journal of Epidemiology and Community Health
UR  - http://dx.doi.org/10.1136/jech-2021-216640
UR  - https://jech.bmj.com/content/76/3/239
UR  - http://hdl.handle.net/10044/1/90945
VL  - 76
ER  - 

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