Evidence map›Paper›PMID 28937912›Full record

ArticleSubstance use & misuse2018

Postpartum Contraceptive use and Rapid Repeat Pregnancy Among Women who use Substances.

Amy M Loree, Aileen Gariepy, Jennifer Prah Ruger, Kimberly A Yonkers

Open access · greenAbstract read
In one paragraph

Article in Substance use & misuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Increasing access to immediate postpartum contraceptive implants: a prospective clinical trial among patients with opioid use disorder.The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2022
    Article
  4. Article
  5. Postpartum contraceptive planning of women with substance abuse disorders.International journal of clinical pharmacy · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Amy M Loreea Psychology Service, VA Connecticut Healthcare System , West Haven , Connecticut , USA.
Aileen Gariepyc Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine , New Haven , Connecticut , USA.
Jennifer Prah Rugerd Department of Medical Ethics and Health Policy , Perelman School of Medicine at the University of Pennsylvania , Philadelphia , Pennsylvania , USA.
Kimberly A Yonkersb Department of Psychiatry, Yale School of Medicine , New Haven , Connecticut , USA.
Yale University · USUniversity of Pennsylvania · USVA Connecticut Healthcare System · US

Funding

Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
Economic Evaluation of Drug Abuse Treatment and HIV Prevention Services for PregnR01DA025555 · NIDA · YALE UNIVERSITY · PI PRAH RUGER, JENNIFER · 2009 to 2012
$2.6M
Psychosocial Res. to Improve Drug Treatment in PregnancyR01DA019135 · NIDA · YALE UNIVERSITY · PI YONKERS, KIMBERLY A · 2004 to 2008
$2.4M
NIDA NIH HHS K12 DA033312NIDA NIH HHS R01 DA019135NIDA NIH HHS R01 DA025555
6 · The paper itself

Abstract

backgroundPostpartum contraception is especially important for women who use alcohol and other substances, given the risk of possible rapid repeat pregnancy and prenatal substance exposure. However, little is known about postpartum contraceptive use among women with substance use histories.

objectiveTo characterize postpartum contraceptive initiation, 24-month continuation, and rapid repeat pregnancy among women who used substances during pregnancy.

methodsThis is a secondary analysis of 161 pregnant women who enrolled in a randomized clinical trial to treat substance use in pregnancy and completed at least one follow-up assessment. Women were eligible if they were less than 28 weeks gestation and reported alcohol or illicit drug use within the past 30 days. Participants were recruited from two hospital-based OB/GYN clinics between 2006 and 2010, and completed assessments at delivery and 3-, 12-, and 24-months postpartum.

resultsPast 30-day use of any substance (not including tobacco) was 52.4%, 58.3%, and 59.8% at 3-, 12-, and 24-month follow-up, respectively. Marijuana was the most commonly reported illicit substance (as high as 48.1%). Rates of any contraceptive use were 71.3%, 66.7% and 65.3% at 3-, 12-, and 24-month follow-up, respectively; DepoProvera and condoms were the most common methods. Rapid repeat pregnancy occurred in 28% of participants by 24-month follow-up. Conclusions/Importance: Postpartum contraceptive use among substance using women was at or near 70%, which is comparable to other samples of postpartum women. Innovative efforts are needed to promote effective contraceptive use among postpartum women in general and among those who use substances in particular.

Indexed as

AdolescentAdultConnecticutContraception BehaviorFemaleHumansPostpartum PeriodPregnancyPregnant PeopleRandomized Controlled Trials as TopicSubstance-Related DisordersTime FactorsYoung AdultContraceptionLARCpostnatalsubstance misuseunplanned pregnancy

Identifiers

PMID28937912
PMCPMC6025459
OpenAlexW2758908517

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.