Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy

• Published in: Maternal and child health journal Vol. 28; no. 7; pp. 1148 - 1159
• Main Authors: Okechukwu, Abidemi, Magrath, Priscilla, Alaofe, Halimatou, Farland, Leslie V., Abraham, Ivo, Marrero, David G., Celaya, Martin, Ehiri, John
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.07.2024; Springer; Springer Nature B.V
• Subjects: Gynecology; Health aspects; Health care; Health services utilization; Maternal & child health; Maternal and Child Health; Medical care; Medicine; Medicine & Public Health; Medicine, Rural; Mothers; Pediatrics; Population Economics; Postnatal care; Postpartum period; Public Health; Qualitative research; Quality management; Rural areas; Rural health care; Sociology; Surveys; United States; United States > US; Arizona; Rural; Structural determinants; Postpartum; Social support
• ISSN: 1092-7875; 1573-6628; 1573-6628
• DOI: 10.1007/s10995-023-03889-w

Objectives Optimal postpartum care promotes healthcare utilization and outcomes. This qualitative study investigated the experiences and perceived needs for postpartum care among women in rural communities in Arizona, United States. Methods We conducted in-depth interviews with thirty childbearing women and analyzed the transcripts using reflexive thematic analysis to gauge their experiences, needs, and factors affecting postpartum healthcare utilization. Results Experiences during childbirth and multiple structural factors, including transportation, childcare services, financial constraints, and social support, played crucial roles in postpartum care utilization for childbearing people in rural communities. Access to comprehensive health information and community-level support systems were perceived as critical for optimizing postpartum care and utilization. Conclusions for Practice This study provides valuable insights for policymakers, healthcare providers, and community stakeholders in enhancing postpartum care services for individuals in rural communities in the United States. Significance What is already known on this subject Centering postpartum policies and interventions to particular population groups necessitates a comprehensive and nuanced understanding of priority needs. What this study adds This study sheds light on the distinct experiences and challenges influencing postpartum experiences and healthcare utilization among childbearing individuals in rural communities in the United States.