Low-income women with pregnancies complicated by diabetes do not consistently receive postpartum care or contraception that may prevent complication of future pregnancies, a recent study found. The retrospective cohort study included 199,860 women aged 15 to 44 years who were continuously enrolled in California’s Medicaid program from 43 days prior to 99 days after delivering in 2012. Postpartum clinic visits were and contraceptive supplies were compared for 11,494 mothers with preconception diabetes, 17,970 mothers with gestational diabetes, and 170,396 mothers without diabetes. Researchers found:
- Postpartum clinic visits were more common with diabetes; however, almost half did not receive any postpartum care within 99 days of delivery.
- Women with pregnancies complicated by diabetes were more likely to receive permanent contraception than women without diabetes.
- Among women without permanent contraception, less than half received any reversible contraception within 99 days of delivery and less effective, barrier contraceptives were more commonly provided to women with preconception diabetes than women without diabetes.
Schwarz EB, Braughton MY, Riedel JC, et al. Postpartum care and contraception provided to women with gestational and preconception diabetes in California’s Medicaid program. [Published online ahead of print August 24, 2017]. Contraception. doi:10.1016/j.contraception.2017.08.006.