Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

Sznajder, Katharine; Carvajal, Diana N.; Sufrin, Carolyn

doi:10.1016/j.contraception.2019.09.007

Cited by 28 publications

(42 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, it was stated that women prefer accurate information available from the antenatal period to give them more time to ask questions and think about decisions to be made. 16 The educational process in early labor is a less than optimal choice in convincing the mother and husband or other family members to choose the right contraceptive method.…”

Section: Discussionmentioning

confidence: 99%

Reasons of Refusal to Long Acting Reversible Contraception (LARC) on Reproductive Age Women: a Scoping Review

Andardi

Rahim

Achadi

2022

eCL

View full text Add to dashboard Cite

Contraception is essential in reproductive health service. Through proper contraception, various risks related to pregnancy and birth can be avoided. Long acting reversible contraception (LARC) is deemed as the most efficient contraceptive metod. However, it faces significant refusal among women worldwide. This study aimed to determine the reason of LARC refusal among reproductive age women. A scoping review was done using a guideline from Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) on studies performed on Asian developing countries. The results showed that a total of seven articles were analyzed. The most common reason for LARC refusal was the disagreement of husband or other family members. Prior knowledge of LARC might increase the acceptance of LARC. In conclusion, since the most common reason for LARC refusal was the disagreement of husband or other family members, education of LARC method on pregnant women, their spouses, and their families is essential to reduce that rate of LARC refusal.Keywords: contraception; long acting reversible contraception; refusal

show abstract

Section: Discussionmentioning

confidence: 99%

Reasons of Refusal to Long Acting Reversible Contraception (LARC) on Reproductive Age Women: a Scoping Review

Andardi

Rahim

Achadi

2022

eCL

View full text Add to dashboard Cite

show abstract

“…However, it may be that providers are differentially recommending LARC to patients of color (Dehlendorf et al, 2010). Indeed, recent qualitative research from unbundling states documents concerning reportsdlargely from racially minoritized patientsdof undue pressure to use IPP LARC (Mann, White, Rogers, & Gomez, 2019;Sznajder, Carvajal, & Sufrin, 2020).…”

Section: Discussionmentioning

confidence: 99%

Provision of Immediate Postpartum Long-Acting Reversible Contraceptives Before and After Wisconsin Medicaid's Payment Change

Kramer

Gangnon

Burns

2021

Women's Health Issues

View full text Add to dashboard Cite

Objectives: We aimed to estimate the association between Medicaid unbundling of payment for long-acting reversible contraceptives (LARC) from the global delivery fee and immediate postpartum (IPP) LARC provision, in a state outside a select group of early-adopters. We also examine the potential moderating roles of hospital academic affiliation and Catholic status on the association between unbundling and IPP LARC provision. Methods: We used a pre-post design to examine the association between unbundling and IPP LARC provision. We observed Medicaid-covered childbirth deliveries in Wisconsin hospitals between January 2016 and December 2017 (n ¼ 45,200) in the State Inpatient Database from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project. We conducted multivariate regressions using generalized linear mixed models. Results: From 2016 to 2017, IPP LARC provision increased from 0.28% to 0.44% of deliveries (p ¼ .003). In our adjusted model, IPP LARC provision was 1.55 times more likely in the post-period versus the pre-period (95% confidence interval, 1.12-2.13). Both before and after unbundling, IPP LARC provision was significantly more common in academic versus nonacademic settings and was exceedingly rare in Catholic institutions. Conclusions: In contrast with many early adopting states, in this later adopting state, Wisconsin Medicaid's unbundling of LARC from the global fee did not meaningfully change the rates of IPP LARC provision. These results indicate that delivery hospital characteristics are strong correlates of access to IPP LARC and suggest the need for interventionsdperhaps outside of the inpatient settingdto ensure that patients can access desired contraceptive methods promptly postpartum.

show abstract

“…A recent qualitative study in the United States found that many abortion clients felt pressured to adopt a particular contraceptive method, usually an IUD or implant 10 . Similarly, interviews with postpartum people revealed that they experienced pressure from providers to immediately initiate use of a LARC 11 . In Sub‐Saharan Africa, people participating in a family planning program reported experiencing a range of coercive practices, including provision without consent and refusal to remove IUDs and implants 12 …”

mentioning

confidence: 99%

“…10 Similarly, interviews with postpartum people revealed that they experienced pressure from providers to immediately initiate use of a LARC. 11 In Sub-Saharan Africa, people participating in a family planning program reported experiencing a range of coercive practices, including provision without consent and refusal to remove IUDs and implants. 12 Contraceptive counseling strategies may range from directive approaches, such as tiered-eff ectiveness counseling, to an informed choice model in which the provider focuses on presenting objective, nonjudgmental information so that patients can select the method that best satisfi es their personal needs and preferences.…”

mentioning

confidence: 99%

The Fine Line Between Informing and Coercing: Community Health Center Clinicians’ Approaches to Counseling Young People About IUDs

Biggs¹,

Tome

Mays

et al. 2020

Perspect Sexual Reproductive

View full text Add to dashboard Cite

CONTEXT While community health centers (CHCs) are meeting increased demand for contraceptives, little is known about contraceptive counseling in these settings. Understanding how clinicians counsel about IUDs in CHCs, including whether they address or disregard young people's preferences and concerns during counseling, could improve contraceptive care. METHODS As part of a training program, 20 clinicians from 11 San Francisco Bay Area CHC sites who counsel young people about contraception were interviewed by telephone in 2015 regarding their IUD counseling approaches. An iterative grounded theory approach was used to analyze interview transcripts and identify salient themes related to clinicians’ contraceptive counseling, IUD removal practices and efforts to address patient concerns regarding side effects. RESULTS Most clinicians offered comprehensive contraceptive counseling and method choice. While several clinicians viewed counseling as an opportunity to empower their patients to make contraceptive decisions without pressure, they also described a tension between guiding young people toward higher‐efficacy methods and respecting patients’ choices. Many clinicians engaged in what could be considered coercive practices by trying to dissuade patients from removals within a year of placement and offering to treat or downplay side effects. CONCLUSIONS Providers try to promote their young patients’ autonomous decision making, but their support for high‐efficacy methods can result in coercive practices. More training is needed to ensure that providers employ patient‐centered counseling approaches, including honoring patient requests for removals.

show abstract

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

Cited by 28 publications

References 23 publications

Reasons of Refusal to Long Acting Reversible Contraception (LARC) on Reproductive Age Women: a Scoping Review

Reasons of Refusal to Long Acting Reversible Contraception (LARC) on Reproductive Age Women: a Scoping Review

Provision of Immediate Postpartum Long-Acting Reversible Contraceptives Before and After Wisconsin Medicaid's Payment Change

The Fine Line Between Informing and Coercing: Community Health Center Clinicians’ Approaches to Counseling Young People About IUDs

Contact Info

Product

Resources

About