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Patients' Experiences with an Immediate Postpartum Long-Acting Reversible Contraception Program.
Cristina Wallace Huff1, Joseph E Potter2, Kristine Hopkins2
1Department of Obstetrics and Reproductive Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Summary
Postpartum women
Area of Science:
- Reproductive Health
- Maternal Health
- Contraception
Background:
- Long-acting reversible contraception (LARC) methods, including intrauterine devices and implants, are highly effective.
- Immediate postpartum LARC placement offers a convenient option for women after childbirth.
Purpose of the Study:
- To compare characteristics of postpartum women offered or not offered immediate postpartum LARC.
- To assess satisfaction and continuation rates among women who obtained immediate postpartum LARC.
Main Methods:
- 199 postpartum women were interviewed at a Texas hospital.
- Offered status, LARC uptake, satisfaction, and continuation were assessed.
- Kaplan-Meier survival curves were used to analyze continuation.
Main Results:
- 51.8% of women recalled being offered immediate postpartum LARC; English-speaking Hispanic women had higher odds than Spanish-speaking.
- 37% of all women received immediate postpartum LARC.
- Continuation at 24 months was 76.9%, with no difference between IUDs and implants.
Conclusions:
- Language barriers may impact access for Spanish-speaking patients.
- Patient-centered decision-making and interpretation services can improve LARC access.
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