Ongoing contraceptive goals of patients who did not achieve desired postpartum permanent contraception prior to hospital discharge

Contraception. 2024 Nov:139:110533. doi: 10.1016/j.contraception.2024.110533. Epub 2024 Jun 28.

Abstract

Objective: To evaluate reasons for non-fulfillment and ongoing contraceptive plans of patients who desired but did not receive inpatient postpartum permanent contraception (PC).

Study design: Multi-site retrospective cohort study of 1254 patients with unfulfilled inpatient postpartum PC. We analyzed the reason for PC non-fulfillment, documented contraceptive plan, and method prescription or provision at hospital discharge, six-weeks, and one-year postpartum.

Results: In our cohort, 44.3% of patients with unfulfilled inpatient PC did not receive any highly- or moderately-effective contraception within one year postpartum.

Conclusions: Removing barriers to PC fulfillment as well as contraceptive counseling that acknowledges these barriers is imperative.

Keywords: Autonomy; Family planning; Permanent contraception; Postpartum contraception.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Contraception Behavior
  • Contraception* / methods
  • Family Planning Services / methods
  • Female
  • Goals
  • Humans
  • Patient Discharge*
  • Postpartum Period*
  • Retrospective Studies
  • Young Adult