ArticleObstetrics and gynecology2016
Barriers to Postpartum Contraception in Texas and Pregnancy Within 2 Years of Delivery.
Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- Mapping the Postpartum Experience Through Obstetric Patient Navigation for Low-Income Individuals.Journal of women's health (2002) · 2024Trial
- A Novel Approach to Postpartum Contraception Provision Combined with Infant Care: A Randomized, Controlled Trial.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Latina Immigrants' Experiences Accessing Contraceptive Services Beyond the Postpartum Period and the Role of Community and Pediatric Settings.Qualitative health research · 2026Article
- How Do We Measure Contraceptive Method Preferences? Evidence From a Scoping Review.Studies in family planning · 2025Article
- Desire for Sterilization Reversal in Delaware, US: The Roles of LARC Use, Personal Abortion Acceptability, and Economic Disadvantage.Perspectives on sexual and reproductive health · 2025Article
- Barriers to Preferred Contraception Use in Mississippi.Journal of women's health (2002) · 2025Article
- Association of quality of prenatal care with contraceptive planning in a United States population: a retrospective cohort study.BMC women's health · 2023Article
- Changes in the Frequency and Type of Barriers to Reproductive Health Care Between 2017 and 2021.JAMA network open · 2023Article
- Immediate Postpartum Long-Acting Reversible Contraceptive Use Following State-Specific Changes in Hospital Medicaid Reimbursement.JAMA network open · 2022Article
- Association of the affordable care act Medicaid expansions with postpartum contraceptive use and early postpartum pregnancy.Contraception · 2022Article
- Incorporating Black women's perspectives into long-acting reversible contraception implementation.F&S reports · 2022Article
- Mi Familia Entera: Contraceptive Use Among Spanish-Speaking Mothers of Young Children.Maternal and child health journal · 2022Article
- Perceptions and practice of state Medicaid officials regarding informed consent for female sterilization.Contraception · 2020Article
- Factors associated with modern contraceptives use among postpartum women in Bukombe district, Geita region, Tanzania.PloS one · 2020Article
- Low-Income Texas Women's Experiences Accessing Their Desired Contraceptive Method at the First Postpartum Visit.Perspectives on sexual and reproductive health · 2018Article
- Unmet demand for short-acting hormonal and long-acting reversible contraception among community college students in Texas.Journal of American college health : J of ACH · 2018Article
- Contraception After Delivery Among Publicly Insured Women in Texas: Use Compared With Preference.Obstetrics and gynecology · 2017Article
- Contraceptive method preferences and provision after termination of pregnancy: a population-based analysis of women obtaining care with the British Pregnancy Advisory Service.BJOG : an international journal of obstetrics and gynaecology · 2017Article
- Recent developments have made female permanent contraception an increasingly attractive option, and pregnant women in particular ought to be counselled about it.Contraception and reproductive medicine · 2016Review
- Prevalence and Predictors of Prenatal and Postpartum Contraceptive Counseling in Two Texas Cities.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo assess pregnancies that could have been averted through improved access to contraceptive methods in the 2 years after delivery.
methodsIn this cohort study, we interviewed 403 postpartum women in a hospital in Austin, Texas, who wanted to delay childbearing for at least 2 years. Follow-up interviews were completed at 3, 6, 9, 12, 18, and 24 months after delivery; retention at 24 months was 83%. At each interview, participants reported their pregnancy status and contraceptive method. At the 3- and 6-month interviews, participants were also asked about their preferred contraceptive method 3 months in the future. We identified types of barriers among women unable to access their preferred method and used Cox models to analyze the risk of pregnancy from 6 to 24 months after delivery.
resultsAmong women interviewed 6 months postpartum (n=377), two thirds had experienced a barrier to accessing their preferred method of contraception. By 24 months postpartum, 89 women had reported a pregnancy; 71 were unintended. Between 6 and 24 months postpartum, 77 of 377 women became pregnant (20.4%), with 56 (14.9%) lost to follow-up. Women who encountered a barrier to obtaining their preferred method were more likely to become pregnant less than 24 months after delivery. They had a cumulative risk of pregnancy of 34% (95% confidence interval [CI] 0.25-0.43) as compared with 12% (95% CI 0.05-0.18) for women with no barrier. All but three of the women reporting an unintended pregnancy had earlier expressed interest in using long-acting reversible contraception or a permanent method.
conclusionIn this study, most unintended pregnancies less than 24 months after delivery could have been prevented or postponed had women been able to access their desired long-acting and permanent methods.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.