Ambika V Viswanathan, Brooke W Bullington, Kristen A Berg, Emily S Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita S Arora
{"title":"Ongoing contraceptive goals of patients who did not achieve desired postpartum permanent contraception prior to hospital discharge.","authors":"Ambika V Viswanathan, Brooke W Bullington, Kristen A Berg, Emily S Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita S Arora","doi":"10.1016/j.contraception.2024.110533","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate reasons for non-fulfillment and ongoing contraceptive plans of patients who desired but did not receive inpatient postpartum permanent contraception (PC).</p><p><strong>Study design: </strong>Multi-site retrospective cohort study of 1254 patients with unfulfilled inpatient postpartum PC. We analyzed the reason for PC non-fulfillment, documented contraceptive plan, and method prescription or provision at hospital discharge, six-weeks, and one-year postpartum.</p><p><strong>Results: </strong>In our cohort, 44.3% of patients with unfulfilled inpatient PC did not receive any highly- or moderately-effective contraception within one year postpartum.</p><p><strong>Conclusions: </strong>Removing barriers to PC fulfillment as well as contraceptive counseling that acknowledges these barriers is imperative.</p>","PeriodicalId":93955,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.contraception.2024.110533","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/28 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate reasons for non-fulfillment and ongoing contraceptive plans of patients who desired but did not receive inpatient postpartum permanent contraception (PC).
Study design: Multi-site retrospective cohort study of 1254 patients with unfulfilled inpatient postpartum PC. We analyzed the reason for PC non-fulfillment, documented contraceptive plan, and method prescription or provision at hospital discharge, six-weeks, and one-year postpartum.
Results: In our cohort, 44.3% of patients with unfulfilled inpatient PC did not receive any highly- or moderately-effective contraception within one year postpartum.
Conclusions: Removing barriers to PC fulfillment as well as contraceptive counseling that acknowledges these barriers is imperative.
目的：评估希望但未接受住院产后永久避孕（PC）的患者未完成避孕的原因和正在进行的避孕计划：评估希望但未接受住院产后永久避孕（PC）的患者未完成避孕的原因和正在进行的避孕计划：研究设计：对 1,254 名产后住院永久避孕药具未获满足的患者进行多地点回顾性队列研究。我们分析了未完成 PC 的原因、记录的避孕计划以及出院时、产后六周和产后一年的避孕方法处方或提供情况：结果：在我们的队列中，44.3%的住院病人未履行个人避孕计划，他们在产后一年内未接受任何高度或中度有效的避孕措施：结论：当务之急是消除实现 PC 的障碍，并提供认识到这些障碍的避孕咨询。
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