Same-Day Placement of Intrauterine Contraception for High-Risk Women

California Family Planning Health Care Providers' Challenges to Same-Day Long-Acting Reversible Contraception Provision

“…8,9 Same-day insertion protocols lessen patient burden, costs associated with additional visits, and the risk of experiencing an unintended pregnancy between the initial and subsequent visit. 10,11 Despite existing support for same-day placement protocols, there are few studies documenting the extent to which health care providers offer IUDs and implants in one visit or the reasons why multiple visits are needed. The limited available research indicates that few health care providers use singlevisit insertion protocols.…”

Eliminating health disparities in unintended pregnancy with long-acting reversible contraception (LARC)

“…Same-day insertion protocols have been shown to lessen patient burden and cost, improve the uptake of LARC, and prevent unintended pregnancies. 53 Clinics and providers should optimize their practices to make same-day insertion possible for most women, including stocking the devices in-office and using checklists to be reasonably sure a patient is not pregnant (see Table 3). The criteria in this checklist has been found to have a 99-100% negative predictive value for ruling out a pregnancy.…”

Use of Highly Effective Reversible Contraception in Title X Clinics: Variation by Selected State Characteristics

“…However, approximately one-half of these clinics require a follow-up appointment for the insertion of implants and IUDs, which may pose a barrier for some women . Previous research suggests same-day LARC insertion may be less costly and burdensome for women, improving uptake (Parks & Peipert, 2016;Wang et al, 2014). Local Health Departments and Federally Qualified Health Centers continue to lag behind other Title Xfunded clinics with respect to key metrics of access.…”