Evidence map›Paper›PMID 30407764›Full record

ArticleWMJ : official publication of the State Medical Society of Wisconsin2018

Health Care Barriers to Provision of Long-Acting Reversible Contraception in Wisconsin.

Emily M Olson, Renee D Kramer, Crystal Gibson, Cynthia K Wautlet, Nicholas B Schmuhl, Deborah B Ehrenthal

Open access · greenAbstract read
In one paragraph

Article in WMJ : official publication of the State Medical Society of Wisconsin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Knowledge, beliefs and practices of nurses with long-acting reversible contraception, Cape Town.African journal of primary health care & family medicine · 2023
    Article
  8. Article
  9. Article
  10. Do Expectant Mothers' Breastfeeding Plans Influence Provider Prenatal Contraceptive Counseling?Journal of human lactation : official journal of International Lactation Consultant Association · 2020
    Article
  11. Article
  12. Article
  13. 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

6 authors at 2 institutions in 1 country.

Emily M OlsonUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Renee D KramerDepartment of Population Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Crystal GibsonWisconsin Department of Health Services, Madison, Wisconsin.
Cynthia K WautletDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Nicholas B SchmuhlDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Deborah B EhrenthalDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, ehrenthal@wisc.edu.
University of Wisconsin–Madison · USWisconsin Department of Health Services · US

Funding

Scientific and Technical CoreP2CHD047873 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine J. Curtis · 2014 to 2026
$5.1M
NICHD NIH HHS P2C HD047873
6 · The paper itself

Abstract

introductionLong-acting reversible contraceptives (LARC), specifically implants and intrauterine devices (IUD), are highly effective, low maintenance forms of birth control. Practice guidelines from the American College of Obstetricians and Gynecologists, American Academy of Family Physicians, and American Academy of Pediatrics recommend that LARC be considered first-line birth control for most women; however, uptake remains low. In this study, we sought to understand practices and barriers to provision of LARC in routine and immediate postpartum settings as they differ between specialties.

methodsWe surveyed 3,000 Wisconsin physicians and advanced-practice providers in obstetrics-gynecology/women's health (Ob-gyn), family medicine, pediatrics, and midwifery to assess practices and barriers (56.5% response rate). This analysis is comprised of contraceptive care providers (n=992); statistical significance was tested using chi-square and 2-sample proportions tests.

resultsMore providers working Ob-gyn (94.3%) and midwifery (78.7%) were skilled providers of LARC methods than those in family medicine (42.5%) and pediatrics (6.6%) (

conclusionsGaps in routine and immediate postpartum LARC practice were strongly related to specialty, and providers' experience heightened barriers to immediate postpartum compared to routine insertion. Skills training targeting family medicine and pediatric providers would enable broader access to LARC. Organizational barriers to immediate postpartum LARC provision impact many providers.

Indexed as

Health Services AccessibilityAdultFamily PracticeFemaleHumansLong-Acting Reversible ContraceptionMidwiferyPractice Patterns, Physicians'PregnancySurveys and QuestionnairesWisconsin

Identifiers

PMID30407764
PMCPMC6734562
OpenAlexW2987552025

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.