Maryl G Sackeim1, Elizabeth P Gurney2, Nathanael Koelper3, Mary D Sammel4, Courtney A Schreiber5. 1. Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104. Electronic address: maryl.goldberg@gmail.com. 2. Department of Obstetrics and Gynecology, Einstein Medical Center Philadelphia, 5501 Old York Road, Lifter 1614C, Philadelphia, PA 19141. Electronic address: gurneyel@einstein.edu. 3. Department of Obstetrics and Gynecology, Center for Research on Reproduction and Women's Health, Philadelphia, PA 19104. Electronic address: nathanael.koelper@uphs.upenn.edu. 4. Department of Biostatistics, Epidemiology & Informatics, University of Pennsylvania Perelman School of Medicine, University of Pennsylvania Perelman School of Medicine, 423 Guardian Drive, 605 Blockley Hall, Philadelphia, PA 19104. Electronic address: msammel@pennmedicine.upenn.edu. 5. Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104. Electronic address: courtney.schreiber@uphs.upenn.edu.
Abstract
OBJECTIVE: To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18 months of delivery, in a large health system and to determine the impact of contraceptive method on RRP. STUDY DESIGN: Retrospective cohort. RESULTS: The prevalence of RRP among patients who delivered in August 2014 (n=804) was 27.2%. After controlling for age and sociodemographic characteristics, women experiencing RRP were less likely to have used long-acting reversible contraception (LARC) [adjusted odds ratio (aOR) 0.45, 95% confidence interval (CI) 0.24-0.85, p=.014; RRP in 19% of implant and 18% of IUD users)] and more likely to have been prescribed a progestin-only pill (aOR 5.106, 95% CI 2.157-12.083, p<.001; RRP in 53% of users) compared to women choosing all other reversible contraceptive methods. CONCLUSIONS: Postpartum LARC decreases the odds of RRP, while a prescription for progestin-only pills is not protective.
OBJECTIVE: To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18 months of delivery, in a large health system and to determine the impact of contraceptive method on RRP. STUDY DESIGN: Retrospective cohort. RESULTS: The prevalence of RRP among patients who delivered in August 2014 (n=804) was 27.2%. After controlling for age and sociodemographic characteristics, women experiencing RRP were less likely to have used long-acting reversible contraception (LARC) [adjusted odds ratio (aOR) 0.45, 95% confidence interval (CI) 0.24-0.85, p=.014; RRP in 19% of implant and 18% of IUD users)] and more likely to have been prescribed a progestin-only pill (aOR 5.106, 95% CI 2.157-12.083, p<.001; RRP in 53% of users) compared to women choosing all other reversible contraceptive methods. CONCLUSIONS: Postpartum LARC decreases the odds of RRP, while a prescription for progestin-only pills is not protective.
Authors: Charlan D Kroelinger; Ekwutosi M Okoroh; Keriann Uesugi; Lisa Romero; Olivia R Sappenfield; Julia F Howland; Shanna Cox Journal: Womens Health Issues Date: 2021-10-01