ArticleContraception and reproductive medicine2018
Ongoing barriers to immediate postpartum long-acting reversible contraception: a physician survey.
Article in Contraception and reproductive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05471362 (Barriers of Immediate Postpartum Intrauterine Device Uptake in Assiut Public Hospitals), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Barriers of Immediate Postpartum Intrauterine Device Uptake in Assiut Public Hospitals
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Expulsion of intrauterine devices after postpartum placement by timing of placement, delivery type, and intrauterine device type: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2020Pooled it
- Increasing Access to Immediate Postpartum Long-Acting Reversible Contraception on Pregnancy and Contraceptive Outcomes in Patients Seeking Permanent Contraception Postpartum.The Permanente journal · 2026Article
- Barriers and Needs for Postpartum Contraception.Maternal and child health journal · 2026Article
- Medicaid reimbursement policies for long-acting reversible contraceptives immediately postpartum: A systematic literature review.Public health in practice (Oxford, England) · 2025Review
- Exploring barriers and facilitators to immediate postpartum intrauterine device uptake within the strengthening Egypt family planning program: a case-control study.BMC health services research · 2025Article
- Barriers and facilitators to contraception provision among rural healthcare providers.Contraception and reproductive medicine · 2025Article
- Contraceptive uptake in postpartum people with and without opioid use disorder and opioid use with co-occurring substance use.Drug and alcohol dependence reports · 2024Article
- Postpartum long-acting reversible contraceptive adoption after a statewide initiative.Health services research · 2024Article
- Review of Publicly Available State Reimbursement Policies for Removal and Reinsertion of Long-Acting Reversible Contraception.Open access journal of contraception · 2024Article
- Knowledge, Attitude, and Practice of Brazilian Physicians about Immediate Postpartum and Postabortion Intrauterine Device Insertion.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023Article
- Continuous quality improvement strategy for increasing immediate postpartum long-acting reversible contraceptive use at Jimma University Medical Center, Jimma, Ethiopia.BMJ open quality · 2023Review
- Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients.Gynecologic oncology reports · 2021Article
- Do Expectant Mothers' Breastfeeding Plans Influence Provider Prenatal Contraceptive Counseling?Journal of human lactation : official journal of International Lactation Consultant Association · 2020Article
- Protocol for a process evaluation of Family Planning Elevated: a statewide initiative to improve contraceptive access in Utah (USA).BMJ open · 2020Article
- Description and comparison of postpartum use of effective contraception among women with and without diabetes.Contraception · 2019Article
- Immediate Postpartum Long-Acting Reversible Contraception: Review of Insertion and Device Reimbursement Policies.Women's health issues : official publication of the Jacobs Institute of Women's HealthReview
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
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostpartum women are at risk for unintended pregnancy. Access to immediate long-acting reversible contraception (LARC) may help decrease this risk, but it is unclear how many providers in the United States routinely offer this to their patients and what obstacles they face. Our primary objective was to determine the proportion of United States obstetric providers that offer immediate postpartum LARC to their obstetric patients.
methodsWe surveyed practicing Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists (ACOG) about their use of immediate postpartum LARC. These members are demographically representative of ACOG members as a whole and represent all of the ACOG districts. Half of these Fellows were also part of the Collaborative Ambulatory Research Network (CARN), a group of ACOG members who voluntarily participate in research. We asked about their experience with and barriers to immediate placement of intrauterine devices and contraceptive implants after delivery.
resultsThere were a total of 108 out of 600 responses (18%). Participants practiced in a total of 36 states and/or US territories and their median age was 52 years. Only 26.9% of providers surveyed offered their patients immediate postpartum LARC, and of these providers, 60.7% work in a university-based practice. There was a statistically significant association between offering immediate postpartum LARC and practice type, with the majority of providers working at a university-based practice (
conclusionThe majority of obstetricians surveyed do not offer immediate postpartum long-acting reversible contraception to patients in the United States. This is secondary to multiple obstacles faced by providers.
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