Postpartum contraceptive choice and fulfillment in patients with opioid use disorder

Contraception. 2023 Dec:128:110267. doi: 10.1016/j.contraception.2023.110267. Epub 2023 Aug 24.

Abstract

Objective: We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD).

Study design: We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment.

Results: Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60-1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53-1.12) of desired method were comparable between groups.

Conclusion: Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.

Keywords: Long-acting reversible contraception; Opioid use disorder; Postpartum contraception; Postpartum visit attendance; Unintended pregnancy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Contraception / methods
  • Contraception Behavior
  • Contraceptive Agents*
  • Female
  • Humans
  • Opioid-Related Disorders*
  • Postpartum Period
  • Retrospective Studies

Substances

  • Contraceptive Agents