2023
DOI: 10.1177/23780231231180378
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Reproductive Oppression Enters the Twenty-First Century: Pressure to Use Long-Acting Reversible Contraception (LARC) in the Context of “LARC First”

Abstract: The common emphasis on the superior pregnancy protection of long-acting reversible contraception (LARC) may result in medical providers’ pressuring women, especially those belonging to groups experiencing reproductive disciplining, to use LARC. The authors consider reports of having felt pressured to get or keep LARC in the 2021 Delaware and Maryland Survey of Women (1,058 current users and 1,788 ever users of LARC) and examine variation in these outcomes by women’s sociodemographic characteristics. The result… Show more

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Cited by 11 publications
(2 citation statements)
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“…This is an important step away from using LARC as a marker of contraceptive counseling success. 28 By focusing on patient rating of counseling quality, it is possible to systematically rework the way we counsel patients on contraception and place the focus on how the patient feels about their contraception counseling and their reproductive needs. Virtual GCC may be one potential avenue to improve the way we counsel patients on contraception to ensure understanding of the subject and usage of desired contraceptive options.…”
Section: Discussionmentioning
confidence: 99%
“…This is an important step away from using LARC as a marker of contraceptive counseling success. 28 By focusing on patient rating of counseling quality, it is possible to systematically rework the way we counsel patients on contraception and place the focus on how the patient feels about their contraception counseling and their reproductive needs. Virtual GCC may be one potential avenue to improve the way we counsel patients on contraception to ensure understanding of the subject and usage of desired contraceptive options.…”
Section: Discussionmentioning
confidence: 99%
“…Medicaid serves individuals experiencing poverty who also face higher rates of unintended pregnancy and adverse pregnancy outcomes and who also are disproportionately denied access to abortion care around the United States. However, lower-income individuals are also at higher risk of coercive contraceptive practices, including pressure to get and/or keep LARC, 14 and lower quality contraceptive care. Medicaid family planning policies and other initiatives focused on low-income individuals have rightfully faced criticism, including for a narrow-minded vision of LARC as a “poverty cure.” 15 LARC methods are not the best fit for everyone, and LARC specifically can be wielded as a tool for reproductive coercion since removal must occur at an appointment with a trained clinician.…”
mentioning
confidence: 99%