ArticleAmerican journal of obstetrics and gynecology2018
Policy change is not enough: engaging provider champions on immediate postpartum contraception.
Article in American journal of obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Health Insurance Coverage and Postpartum Outcomes in the US: A Systematic Review.JAMA network open · 2023Pooled it
- Medicaid reimbursement policies for long-acting reversible contraceptives immediately postpartum: A systematic literature review.Public health in practice (Oxford, England) · 2025Review
- Article
- Barriers and facilitators to contraception provision among rural healthcare providers.Contraception and reproductive medicine · 2025Article
- Postpartum long-acting reversible contraceptive adoption after a statewide initiative.Health services research · 2024Article
- Examining the impact of Medicaid payments for immediate postpartum long-acting reversible contraception on the mental health of low-income mothers.Health services research · 2024Article
- Increasing Access to Contraception: Examining Barriers and Facilitators of Long-Acting Reversible Contraception.Journal of women's health (2002) · 2024Article
- A socioecological perspective to contraceptive access for women experiencing homelessness in the United States.Contraception · 2023Article
- 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 · 2022Article
- Immediate Postpartum Long-Acting Reversible Contraceptive Use Following State-Specific Changes in Hospital Medicaid Reimbursement.JAMA network open · 2022Article
- Review of Publicly Available State Policies for Long-Acting Reversible Contraception Device Reimbursement.Journal of women's health (2002) · 2022Article
- Use of a Learning Community to Expand Access to Contraception.American journal of public health · 2022Article
- Feasibility and acceptability of a toolkit-based process to implement patient-centered, immediate postpartum long-acting reversible contraception services.American journal of obstetrics and gynecology · 2022Article
- Barriers and Facilitators to Implementing Immediate Postpartum Contraceptive Implant Programs: A Formative Implementation Research.International journal of women's health · 2022Article
- An exploratory survey regarding the Maryland Contraceptive Equity Act: clinician awareness and impact on contraception provision.Contraception: X · 2022Article
- Social disadvantage and its effect on maternal and newborn health.Seminars in perinatology · 2021Review
- Implementing immediate postpartum contraception: a comparative case study at 11 hospitals.Implementation science communications · 2021Article
- Medicaid Payments For Immediate Postpartum Long-Acting Reversible Contraception: Evidence From South Carolina.Health affairs (Project Hope) · 2021Article
- Advancing clinical leadership to improve the implementation of evidence-based practice in surgery: a longitudinal mixed-method study protocol.Implementation science : IS · 2020Article
- Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
Rates of short-interval pregnancies that result in unintended pregnancies remain high in the United States and contribute to adverse reproductive health outcomes. Long-acting reversible contraception methods have annual failure rates of <1%, compared with 9% for oral contraceptive pills, and are an effective strategy to reduce unintended pregnancies. To increase access to long-acting reversible contraception in the immediate postpartum period, several State Medicaid programs, which include those in Iowa and Louisiana, recently established reimbursement policies to remove the barriers to reimbursement of immediate postpartum long-acting reversible contraception insertion. We used a mixed-methods approach to analyze 2013-2015 linked Medicaid and vital records data from both Iowa and Louisiana and to describe trends in immediate postpartum long-acting reversible contraception provision 1 year before and after the Medicaid reimbursement policy change. We also used data from key informant interviews with state program staff to understand how provider champions affected policy uptake. We found that the monthly average for the number of insertions in Iowa increased from 4.6 per month before the policy to 6.6 per month after the policy; in Louisiana, the average number of insertions increased from 2.6 per month before the policy to 45.2 per month. In both states, the majority of insertions occurred at 1 academic/teaching hospital. In Louisiana, the additional increase may be due to the engagement of a provider champion who worked at both the state and facility level. Recruiting, training, engaging, and supporting provider champions, as facilitators, with influence at state and facility levels, is an important component of a multipart strategy for increasing successful implementation of state-level Medicaid payment reform policies that allow reimbursement for immediate postpartum long-acting reversible contraception insertions.
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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.