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Interconception Care for Adolescent Women During the COVID-19 Pandemic

Hana Smith1,2, Bethany Ashby3,4, Sarah Tillema5

  • 1Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, USA. hana.smith@childrenscolorado.org.

Maternal and Child Health Journal
|June 6, 2023
PubMed

Insights

Interconception care (ICC) provided through pediatric well-child visits ensured continued access to contraception and reduced repeat pregnancies for adolescent women during the COVID-19 pandemic.

Area of Science:

  • Reproductive Health
  • Pediatric Medicine
  • Public Health

Background:

  • Interconception care (ICC) aims to improve maternal and child health by managing risks between pregnancies.
  • Pediatric medical homes can facilitate ICC through adherence to well-child visits (WCVs).
  • The COVID-19 pandemic presented challenges to healthcare access, potentially impacting ICC services.

Purpose of the Study:

  • To evaluate the impact of the COVID-19 pandemic on long-acting reversible contraception (LARC) use and repeat pregnancy rates among adolescent women receiving ICC.
  • To assess the effectiveness of a pediatric-based ICC model during the pandemic.

Main Methods:

  • Comparison of two cohorts of adolescent women receiving ICC: pre-COVID (Sept 2018-Oct 2019) and COVID (March 2020-March 2021).
  • Analysis of sociodemographic factors, age, education, visit frequency, contraceptive choice, and repeat pregnancy.
  • Utilized a dyadic pediatric medical home model for service delivery.

Main Results:

  • The COVID cohort had more primiparous women, younger infants, and fewer visits compared to the pre-COVID cohort.
  • Initiation of long-acting reversible contraception (LARC) was similar between cohorts.
  • The COVID cohort experienced a significantly lower rate of repeat pregnancy.

Conclusions:

  • Despite pandemic-related healthcare access limitations, ICC integrated with WCVs maintained access to care.
  • The pediatric-based ICC model proved effective in supporting contraception use and reducing repeat pregnancies.
  • This approach highlights the resilience and effectiveness of dyadic pediatric medical homes for interconception care.
Abstract

Keywords:
COVID19DyadicInterconception careLong-acting reversible contraceptionMedical homeWell child visits

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