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Changing depot medroxyprogesterone acetate access at a faith-based institution
Maryam Guiahi1, Moira McNulty, Gretchen Garbe
1Division of Family Planning, Department of Obstetrics and Gynecology, Columbia University, New York, NY 10032, USA. mg2852@columbia.edu
Contraception
|August 17, 2011
Summary
Immediate postpartum depot medroxyprogesterone acetate (DMPA) significantly reduced repeat pregnancies in young women. Limiting access to DMPA for noncontraceptive uses increased pregnancy rates in this demographic.
Area of Science:
- Reproductive Health
- Public Health
- Clinical Obstetrics
Background:
- Loyola University Medical Center, a faith-based institution, previously provided depot medroxyprogesterone acetate (DMPA) for noncontraceptive postpartum uses.
- This study examines the impact of discontinuing this practice.
Purpose of the Study:
- To evaluate the association between immediate postpartum depot medroxyprogesterone acetate (DMPA) and repeat pregnancy rates.
- To analyze factors influencing repeat pregnancy in young women.
Main Methods:
- A historical cohort study compared young women (≤25 years) who received immediate postpartum DMPA with those who did not.
- Logistic regression analysis was employed to assess associations between patient characteristics and repeat pregnancy within one year.
Main Results:
- The study included 258 women, with 105 (40.70%) exposed to DMPA.
- Multivariable analysis, adjusting for race and religion, revealed a statistically significant decrease in repeat pregnancy among patients receiving immediate postpartum DMPA (OR 0.27, 95% CI 0.10-0.72).
Conclusions:
- Restricting access to DMPA for noncontraceptive indications postpartum led to increased pregnancy rates.
- This highlights the importance of continued access to contraception for young women.
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