Is the Availability of Immediate Inpatient Postpartum Long-Acting Reversible Contraception (LARC) Associated with a Decrease in Rapid Repeat Pregnancy?

Allison Hoynes, Brittany Cox, Roma Amin, Chelsey Foster, Annalise Celano, Jonathan Yun

Abstract read

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Article in Journal of the American Board of Family Medicine : JABFM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

Women's Health, Social Issues, and Quality of Care in Family Medicine.Journal of the American Board of Family Medicine : JABFM
Article

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5 · Who and what money

Authors and funding

6 authors.

Allison HoynesFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC). allison.hoynes@ohiohealth.com.

Brittany CoxFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC).

Roma AminFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC).

Chelsey FosterFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC).

Annalise CelanoFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC).

Jonathan YunFrom the Grant Family Medicine, OhioHealth, Columbus, OH (AH, RA, JY); Sky Lakes Medical Center, Klamath Falls, OR (BC); Wright State University Boonshoft School of Medicine, Dayton, OH (CMF); Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio, USA (AC).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmediate postpartum long-acting reversible contraception (IPP-LARC) after delivery may decrease rapid repeat pregnancy (RRP). RRP is associated with preterm birth, small for gestational age, low birth weight, and infant/maternal mortality. In April 2017, the Ohio legislature passed SB 332, mandating immediate postpartum LARC coverage. Later that year, our hospital made the IPP-LARC Nexplanon (and not intrauterine devices [IUDs]) available to all delivering patients. This study aimed to see if SB 332 is associated with decreased RRP.

methodsUsing electronic health record and state registry data, we examined sociodemographic and perinatal care variables for 726 pregnant adolescents and adults delivering at our hospital during the 12 months before and after IPP-LARC became available. We then determined the association between RRP and these variables.

resultsAfter LARC became available, 62/368 patients chose Nexplanon. Gravidity (OR: 1.128) and vaginal delivery (OR: 1.682) were negatively associated with RRP while age at delivery was inversely associated (OR: 0.902,

conclusionsAfter SB 332's passage, IPP-LARC availability was positively associated with RRP, but the percentage of patients who chose IPP-LARC was low. However, RRP occurred less often among patients who chose IPP-LARC placement. Hospital systems must actively invest in patient education and provider support to ensure interventions to reduce rapid repeat pregnancy are optimally utilized by vulnerable populations.

Indexed as

Health Services AccessibilityLong-Acting Reversible ContraceptionAdolescentAdultFemaleHumansOhioPostpartum PeriodPregnancyYoung AdultContraceptivesCounselingDesogestrelDrug ImplantsElectronic Health RecordsEtonogestrelHealth DisparitiesHealth EducationHealth PolicyLong-Acting Reversible ContraceptionMaternal Health ServicesMedicaidObstetricsOhioPerinatal CarePopulation HealthPostpartum PeriodPreconception CarePregnancyPremature BirthPreventive MedicinePublic HealthReproductive HealthWomen's Health

Identifiers

PMID41419339

DOI10.3122/jabfm.2025.250137R1

PMCPMC12978581

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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.