Infectious Disease

Rural girls are much less prone to have OB / GYN appointments

December 21, 2020

2 min read

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The authors and Adams do not report any relevant financial information.

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Women aged 15 to 44 who lived in rural areas had significantly fewer medical visits, including obstetrics / gynecology, than their urban counterparts, according to a 10-year pooled analysis.

According to the HHS, approximately 700 women die each year in the United States from a pregnancy-related complication. The CDC estimates that two in three pregnancy-related deaths are preventable.

In the latest study Hyunjung Lee, PhD, MS, MPP, MBA, An employee of the Oak Ridge Institute for Science and Education in Tennessee and colleagues reviewed data from the Medical Expenditure Panel’s 2006-2015 survey. They merged that data with the 2010 rural-urban commuter area codes for 52,190 women of childbearing age. 4,817 of them lived in rural areas.

In a fitted analysis, women in rural areas were more likely to report having a usual source of care (4.9 percentage points; 95% CI, 2.1-7.7 percentage points) and were slightly less likely to have late care (-1.3 percentage points; 95% CI, -2.5 to -0.2 percentage points). The researchers observed no differences between rural and urban areas in reports on the status of an uninsured (2 percentage points; 95% CI, -0.2 to 4.1 percentage points) and the unmet need for care (-0.2 percentage points; 95% CI, -1.1 to 0.8 percent) points).

However, Lee and colleagues said it was “unlikely” that women in rural areas would have “equal or better access to care than urban women”. The results showed that women in rural areas were less likely to talk to the doctor (-4.2 percentage points; 95% CI, -6.9 to -1.6 percentage points) and OB / GYN visits (-3.3 percentage points; 95%). ) reported. CI, -5.9 to -0.8 percentage points).

“Clinicians who care for women of childbearing potential must optimally involve these women in ongoing prenatal and perinatal care, work actively to reduce comorbidities that put these women at higher risk of mortality, and refer their patients to specialist providers and facilities if necessary. who are well equipped to treat their complex health needs, ”Lee told Healio Primary Care.

“Rural providers in particular need to ensure that any visit to a woman who is considering or currently pregnant is as meaningful and effective as possible,” she continued.

Lee noted that since the trial was completed the US Surgeon General Jerome M. Adams, MD, MPH, issued a call to action to improve maternal health that includes other clinical recommendations such as:

  • Improving knowledge, awareness, and use of tools by organizations such as the US Preventive Services Task Force and Women’s Preventive Services;
  • Improvement of self and situation awareness and awareness of disparities;
  • Listening to the concerns of women and their family members before, during, and after delivery; and
  • Recording and monitoring of the patient’s vital functions over the entire lifespan.

“The health of our nation depends on the health of our mothers.” Adams said in a press release. “In the United States, a mother or mother-to-be dies every 12 hours. These tragedies are unacceptable.”

References

HHS. The surgeon’s call to action to improve maternal health. https://www.hhs.gov/sites/default/files/call-to-action-maternal-health.pdf. Accessed December 4, 2020.

HHS. HHS outlines new plans and partnership to reduce pregnancy-related deaths in the US. https://www.hhs.gov/about/news/2020/12/03/hhs-outlines-new-plans-to-reduce-us-pregnancy-related-deaths.html. Accessed December 14, 2020.

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