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¿Está la disponibilidad de anticoncepción reversible de acción prolongada (LARC) inmediata posparto en régimen de

Allison Hoynes1, Brittany Cox2, Roma Amin2

  • 1From the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC). allison.hoynes@ohiohealth.com.

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PubMed
Resumen
Este resumen es generado por máquina.

La anticoncepción reversible de acción prolongada inmediata posparto (IPP-LARC) puede reducir los embarazos repetidos rápidos (RRP). Si bien la disponibilidad de IPP-LARC mostró una ligera asociación positiva con RRP, las pacientes que eligieron IPP-LARC tuvieron significativamente menos RRP.

Palabras clave:
AnticonceptivosAsesoramientoDesogestrelImplantes de DrogasRegistros Médicos ElectrónicosEtonogestrelDisparidades en SaludEducación para la SaludPolítica de SaludAnticoncepción Reversible de Acción ProlongadaServicios de Salud MaternaMedicaidObstetriciaOhioAtención PerinatalSalud de la PoblaciónPeríodo PospartoAtención PreconcepcionalEmbarazoParto PrematuroMedicina PreventivaSalud PúblicaSalud ReproductivaSalud de la Mujer

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Área de la Ciencia:

  • Salud Reproductiva
  • Política de Salud Pública
  • Medicina Materno-Fetal

Sus antecedentes:

  • El embarazo repetido rápido (RRP) se asocia con resultados perinatales adversos, incluido el parto prematuro y el bajo peso al nacer.
  • La legislación de Ohio (SB 332) exigió la cobertura de anticoncepción reversible de acción prolongada inmediata posparto (IPP-LARC) a partir de abril de 2017.
  • Nuestro hospital introdujo Nexplanon como una opción de IPP-LARC después de la legislación.

Objetivo del estudio:

  • Evaluar la asociación entre la disponibilidad de IPP-LARC y la tasa de RRP después de la aprobación de la SB 332.
  • Identificar los factores asociados con RRP en adolescentes y adultos que dieron a luz en nuestra institución.

Principales métodos:

  • Se analizaron datos de 726 pacientes antes y después de la disponibilidad de IPP-LARC en un estudio retrospectivo.
  • Se utilizaron registros médicos electrónicos y datos del registro estatal para examinar variables sociodemográficas y de atención perinatal.
  • Se determinó la asociación entre RRP y estas variables.

Principales resultados:

  • Solo 62 de 368 pacientes optaron por Nexplanon (IPP-LARC).
  • La probabilidad media ajustada de RRP fue del 6% para las pacientes con IPP-LARC frente al 20% para las que no lo tuvieron.
  • La paridad y el parto vaginal se asociaron negativamente con RRP, mientras que la edad al momento del parto se asoció inversamente.

Conclusiones:

  • La disponibilidad de IPP-LARC se asoció positiva, aunque no significativamente, con RRP.
  • A pesar de la baja adopción, las pacientes que utilizaron IPP-LARC experimentaron tasas más bajas de RRP.
  • La educación mejorada al paciente y el apoyo del proveedor son cruciales para optimizar la utilización de IPP-LARC en poblaciones vulnerables.