A statewide analysis of uptake of highly effective contraception offered immediately postpartum in Massachusetts, 2017-2021

被引：0

作者：

Nandi, Preetha ^{[1
,3
]}

Lekshmi, Devika ^{[2
]}

Charles, Alysa St. ^{[2
]}

Werner, Erika ^{[2
]}

Evans, Megan L. ^{[2
]}

机构：

[1] Johns Hopkins Univ, Dept Gynecol & Obstet, Baltimore, MD 21218 USA

[2] Tufts Med Ctr, Dept Obstet & Gynecol, Boston, MA USA

[3] Johns Hopkins Bayview Med Ctr, GYN OB A121,4940 Eastern Ave, Baltimore, MD 21224 USA

来源：

CONTRACEPTION | 2025年 / 144卷

关键词：

Health disparity; Immediate postpartum; Permanent contraception; Postpartum contraception; Public health; STERILIZATION;

D O I：

10.1016/j.contraception.2024.110785

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

引用

页数：3