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Postpartum contraceptive choice and fulfillment in patients with opioid use disorder
Kathryn N Thomas1, Tani Malhotra2, David Ngendahimana3
1Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, USA; Department of Obstetrics, Gynecology & Reproductive Sciences, UPMC Magee-Womens Hospital, Pittsburgh, PA, USA.
Objective:
We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD).
Study Design:
We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment.
Results:
Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60-1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53-1.12) of desired method were comparable between groups.
Conclusion:
Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.
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