Literature DB >> 34329610

Outcomes of a two-visit protocol for long acting reversible contraception for adolescents and young adults.

Tracey A Wilkinson1, Brownsyne Tucker Edmonds2, Erika R Cheng3.   

Abstract

OBJECTIVES: To examine outcomes of a 2-visit protocol for placement of intrauterine or subdermal contraception. STUDY
DESIGN: We identified all women ages 15 to 27 who received an order for an intrauterine or subdermal contraceptive between January 2014-December 2016. We examined time from order to contraceptive placement and reasons for incomplete orders.
RESULTS: We identified 1,192 unique patients who received 1,323 orders for intrauterine or subdermal contraceptives; 68% were completed at a second visit. The median time from order to placement was 22 days (interquartile range = 15-35). Of incomplete orders, 41% were related to logistics of a subsequent visit. Twenty-eight percent of patients had a subsequent pregnancy within the study period.
CONCLUSIONS: Efforts to provide same-day access for all contraceptive methods are needed.
Copyright © 2021 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Access; Adolescent; Contraception; Federally Qualified Health Center; Long-Acting Reversible Contraception; Pregnancy; Young Adults

Mesh:

Substances:

Year:  2021        PMID: 34329610      PMCID: PMC9116877          DOI: 10.1016/j.contraception.2021.07.107

Source DB:  PubMed          Journal:  Contraception        ISSN: 0010-7824            Impact factor:   3.375


  9 in total

1.  A missed opportunity for care: two-visit IUD insertion protocols inhibit placement.

Authors:  Ashlee Bergin; Sigrid Tristan; Mishka Terplan; Melissa L Gilliam; Amy K Whitaker
Journal:  Contraception       Date:  2012-07-06       Impact factor: 3.375

Review 2.  Contraception for adolescents.

Authors:  Mary A Ott; Gina S Sucato
Journal:  Pediatrics       Date:  2014-10       Impact factor: 7.124

3.  Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices.

Authors: 
Journal:  Obstet Gynecol       Date:  2017-11       Impact factor: 7.661

4.  The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.

Authors:  Gina M Secura; Jenifer E Allsworth; Tessa Madden; Jennifer L Mullersman; Jeffrey F Peipert
Journal:  Am J Obstet Gynecol       Date:  2010-06-11       Impact factor: 8.661

5.  Provision of no-cost, long-acting contraception and teenage pregnancy.

Authors:  Gina M Secura; Tessa Madden; Colleen McNicholas; Jennifer Mullersman; Christina M Buckel; Qiuhong Zhao; Jeffrey F Peipert
Journal:  N Engl J Med       Date:  2014-10-02       Impact factor: 91.245

6.  Barriers associated with the failure to return for intrauterine device insertion following first-trimester abortion.

Authors:  Ann M Stanek; Paula H Bednarek; Mark D Nichols; Jeffrey T Jensen; Alison B Edelman
Journal:  Contraception       Date:  2008-10-22       Impact factor: 3.375

7.  Effect of staff training and cost support on provision of long-acting reversible contraception in community health centers.

Authors:  Christina Buckel; Ragini Maddipati; Melody Goodman; Jeffrey F Peipert; Tessa Madden
Journal:  Contraception       Date:  2019-01-24       Impact factor: 3.375

8.  Comparing long-acting reversible contraception insertion rates in women with Medicaid vs. private insurance in a clinic with a two-visit protocol.

Authors:  Tara M Higgins; Anne K Dougherty; Gary J Badger; Sarah H Heil
Journal:  Contraception       Date:  2017-09-05       Impact factor: 3.375

9.  Immediate postabortion access to IUDs, implants and DMPA reduces repeat pregnancy within 1 year in a New York City practice.

Authors:  Aileen M Langston; Sophie L Joslin-Roher; Carolyn L Westhoff
Journal:  Contraception       Date:  2013-11-06       Impact factor: 3.375

  9 in total

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