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Implementing Immediate Postpartum Long-Acting Reversible Contraception Programs.

Lisa G Hofler1, Sarah Cordes, Carrie A Cwiak

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Implementing immediate postpartum long-acting reversible contraception (LARC) programs requires careful planning, team collaboration, and addressing financial concerns. Key steps include identifying champions and ensuring multidisciplinary teamwork for successful LARC program implementation.

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Area of Science:

  • Reproductive Health
  • Healthcare Management
  • Implementation Science

Background:

  • Immediate postpartum long-acting reversible contraception (LARC) is a highly effective method for preventing unintended pregnancies.
  • Implementing these programs in hospital settings presents unique challenges and requires structured approaches.

Purpose of the Study:

  • To identify key steps and barriers in establishing immediate postpartum LARC programs in Georgia hospitals.
  • To develop an implementation guide based on hospital experiences.

Main Methods:

  • Qualitative study involving interviews with 32 key personnel from 10 Georgia hospitals.
  • Directed qualitative content analysis and the Stages of Implementation framework were utilized.
  • An implementation guide was created and compared to hospital experiences.

Main Results:

  • 7 out of 10 hospitals successfully implemented immediate postpartum LARC programs.
  • Common themes included team communication, payer preparedness, interdepartmental tasks, and piloting.
  • Key first steps involved identifying champions, forming multidisciplinary teams, securing finances, and gaining administrative support.

Conclusions:

  • Successful implementation hinges on clear communication and multidisciplinary teamwork.
  • A stage-based implementation approach and a standardized guide can structure the complex process.
  • Anticipatory guidance is crucial for hospital teams navigating LARC program setup.