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Continuity of Care Between Obstetrical and Pediatric Preventive Care: Indicators of Nonattendance at the First Well-Child Appointment

The Ohio State University College of Medicine, Columbus, Ohio; Children's Hospital, 700 Children's Drive, Columbus, Ohio 43205

Aloysius J. Humbert

The Ohio State University College of Medicine, Columbus, Ohio

Michelle Powell

The Ohio State University College of Medicine, Columbus, Ohio

This study evaluates appointment behavior for first well-child visits for first-born children and identifies factors that target infants at increased likelihood for missing their first pediatric appointment. Timely appointments were not scheduled for 10.3% of newborns; 20.1% of those scheduling did not keep the first appointment. Younger, less educated mothers who did not remember when they had learned about well-baby care, and mothers of infants in the newborn intensive care unit were unlikely to schedule the appointment; young mothers learning about well care from friends or relatives and who chose a pediatrician without a previous prenatal visit were more likely to miss the child's first appointment. Prenatal pediatric visits as well as prenatal classes and written materials may improve compliance with the first well-child appointment.

Clinical Pediatrics, Vol. 35, No. 11, 563-569 (1996)
DOI: 10.1177/000992289603501102


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