Researchers from University of Pennsylvania Report Findings in Managed Care (Factors Affecting Follow-up for Specialty Postpartum Care After Obstetric Anal Sphincter Injury At a Single Us Institution): Managed Care

2025 MAY 13 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in Managed Care. According to news reporting originating from Philadelphia, Pennsylvania, by NewsRx correspondents, research stated, “Introduction and HypothesisEarly postpartum specialist care may improve outcomes for birthing people who sustain obstetric anal sphincter injuries (OASIS). This study was aimed at describing follow-up rates in a postpartum recovery clinic (PPRC) for patients who sustained OASIS at delivery, and at identifying factors associated with failure to follow up.”

Our news editors obtained a quote from the research from the University of Pennsylvania, “We hypothesized that providing care in PPRC would result in high rates of access to specialized care for OASIS.MethodsThis was a retrospective cohort study of patients with OASIS at a single institution from January 2018 to December 2023. Patients who sustain OASIS receive an automatic referral to PPRC within 3 weeks postpartum. Demographic and follow-up data were extracted from the medical records, including Edinburgh Postpartum Depression Scale (EPDS) score. The primary outcome was follow-up in PPRC. We examined associations between patient characteristics and failure to follow up using univariable and multivariable logistic regression.ResultsAmong 659 deliveries with OASIS during the study period, 540 (81.9%) followed up in a PPRC and of those 468 (86.7%) followed up within 3 weeks. Failure to follow up was associated with multiparity, Black race, Hispanic ethnicity, having Medicaid or state insurance, and elevated EPDS score on univariable analysis. On multivariable analysis, having Medicaid or state medical assistance and elevated depression screening remained associated with failure to follow up in a PPRC.ConclusionsThere was a high overall attendance rate at a urogynecologist-led postpartum clinic in birthing people who sustained OASIS.”

According to the news editors, the research concluded: “An elevated depression screening score and having Medicaid or state medical assistance were associated with failure to follow up.”

This research has been peer-reviewed.

For more information on this research see: Factors Affecting Follow-up for Specialty Postpartum Care After Obstetric Anal Sphincter Injury At a Single Us Institution. International Urogynecology Journal, 2025. International Urogynecology Journal can be contacted at: Springer London Ltd, 236 Grays Inn Rd, 6TH Floor, London WC1X 8HL, England. (Springer - www.springer.com; International Urogynecology Journal - http://www.springerlink.com/content/0937-3462/)

The news editors report that additional information may be obtained by contacting Simone Reaves, University of Pennsylvania, Dept. of Obstetrics and Gynecology, Div Urogynecol & Reconstruct Surg, Philadelphia, PA 19104, United States. Additional authors for this research include Pamela J. Levin, Heidi S. Harvie and Uduak U. Andy.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s00192-025-06126-w. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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