• Jina Giusto, Megan Anton, Sabrina Gaiazov, Kathi Huddleston, Shira Levy, Alma Fuller, Suchitra Hourigan, John Niederhuber, and Vivian Hwang.
• From the Department of Pediatrics, Inova Children's Hospital.
• Pediatr Emerg Care. 2021 May 1; 37 (5): 260264260-264.

ObjectivesTo determine if maternal confidence affects emergency department (ED) utilization in the first year of life.MethodsThis retrospective cohort study examined the Maternal Confidence Questionnaire responses from a longitudinal birth cohort study and ED visits for these subjects across all Inova hospitals from January 2012 to July 2017 for full-term children 12 months or younger at the time of visit. Using logistic regression, maternal confidence, maternal race/ethnicity, age, education, parity, and insurance were evaluated against Emergency Severity Index acuity levels and ED visit frequency.ResultsOf 2429 participants in the longitudinal study, 316 subjects visited the ED and met inclusion criteria. Medicaid status was the main factor associated with any ED visit. Low maternal confidence did not correlate with more frequent or nonurgent ED visits. Higher maternal confidence scores were seen in Hispanic or Latino mothers and mothers with parity greater than 1. Hispanic or Latino mothers were more likely to have Medicaid and more likely to bring their child to the ED. Mothers with college education had lower maternal confidence scores, were less likely to visit the ED, but had higher acuity level visits.ConclusionsLow maternal confidence did not correlate with frequent ED visits or nonurgent visits. Medicaid status was the main factor associated with any ED visit. Hispanic or Latino mothers had higher maternal confidence scores, were more likely to have Medicaid and more likely to bring their child to the ED.Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.

11 keywords...

hide…