The lack of a comprehensive, national reporting system on postpartum maternal health has resulted in inconsistent findings. As noted earlier in relation to postpartum depression, estimates of its prevalence varied widely across studies. Another example of the incomplete and inconsistent health-care findings occurs in the area of postpartum care utilization rates. For example, all mothers in a national, random sample, the Listening to Mothers survey (Declercq et al., 2002), reported receiving at least one postpartum, health-care follow-up visit. However, a report from the Office of Public Insurance Counsel and Center for Health Statistics (2004) of the State of Texas showed that 65.2% of women covered by any insurance plan in Texas received their postpartum checkups between 21 and 56 days postpartum in 2003. Another report from the Texas Health Quality Alliance, however, showed that only 25% of a total of 1,401 participants of Medicaid Managed Care members in six counties in Texas had a postpartum follow-up visit (Texas Star Program, 2000). Regrettably, no specific national strategies, plans, or policies are in place to encourage new mothers to obtain postpartum health care.