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Published on: January 12, 2018
A statewide analysis of uptake of highly effective contraception offered immediately postpartum in Massachusetts,
Preetha Nandi1, Devika Lekshmi2, Alysa St Charles2
1Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD, USA.
Objectives:
To investigate provision of immediate postpartum (iPP) highly effective contraception in Massachusetts.
Study Design:
We performed logistic regressions evaluating contraceptive implant, intrauterine device, and permanent contraception procedures occuring during delivery admissions between 2017 and 2021, analyzing outcomes by method reversibility and delivery type.
Results:
Hispanic and privately-insured patients had higher odds of receiving any iPP method, whereas patients delivered at non-teaching hospitals had lower odds of receiving any method. Patients who were Hispanic, publicly-insured, or delivered at non-teaching hospitals had lower odds of receiving reversible compared to permanent methods.
Conclusion:
Differential uptake of iPP contraception suggests programming opportunities to address unmet postpartum contraception needs.
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