Characteristics of mother-provider interactions surrounding postpartum return to work.
J Am Board Fam Med
; 22(5): 498-506, 2009.
Article
de En
| MEDLINE
| ID: mdl-19734395
ABSTRACT
BACKGROUND:
Many mothers with infants work full-time, yet little is known about communication between women and health care providers regarding returning to work (RTW).METHODS:
Survey data were obtained from a community-based sample of mothers returning to full-time employment within 4 months postpartum. Bivariate analyses (chi(2) and independent sample t tests) and multivariate logistic regressions were specified.RESULTS:
Eighty-three percent of mothers believed prenatal providers should discuss RTW, yet only 60% had such a discussion; 58% discussed RTW with their infants' provider. Black women (odds ratio, 2.6) and women in poverty (odds ratio, 3.6) more often reported having an RTW discussion with a prenatal provider whereas mothers with college degrees or higher (odds ratio, 2.7) more often had RTW discussions with their infant's provider. RTW discussions occurred < or =3 times and were felt to be only somewhat useful. RTW discussions infrequently centered on maternal health (19.5%) or infant health or development (35.5%).CONCLUSIONS:
Women want providers to initiate RTW discussions. Providers should be aware that race, poverty status, and level of maternal education impact a mother's odds of having an RTW discussion. Additional research is required to further delineate the content of RTW discussions and to determine the clinical value of RTW discussions.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Relations entre professionnels de santé et patients
/
Congé maladie
/
Période du postpartum
/
Emploi
Type d'étude:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limites:
Adult
/
Female
/
Humans
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
J Am Board Fam Med
Année:
2009
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique