Abstract
Discussion Forum (0)
Co-Author(s): Rashida Moiz Merchant;Meghna Ramaswamy;Katrina Schafer Mark
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Co-Author(s): Rashida Moiz Merchant;Meghna Ramaswamy;Katrina Schafer Mark
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Are patients getting what they want? Concordance between postpartum contraception choice in the antenatal period and method received
Martha Kaitlyn Coghlan
Affiliations:
University of Maryland Medical Center
University of Maryland Medical Center
Abstract
Discussion Forum (0)
Co-Author(s): Rashida Moiz Merchant;Meghna Ramaswamy;Katrina Schafer Mark
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Co-Author(s): Rashida Moiz Merchant;Meghna Ramaswamy;Katrina Schafer Mark
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
Introduction: To determine whether patients receive their antenatal choice of contraception, if provider type plays a role, and if patients receive more effective contraception (sterilization or LARC). Methods: A retrospective study of all patients receiving obstetric care at a single tertiary urban medical center in 2016 was conducted. Patients with incomplete pregnancy data or history of sterilization were excluded. Primary outcome was receipt of intended postpartum birth control method. Secondary outcomes were concordance rates between antenatal and postpartum choice based on provider type and method of contraception. Outcomes were compared using chi square analysis, and odds ratios were calculated for receipt of intended postpartum contraception based on provider type and method received. Results: Four hundred seventy-six patients met inclusion criteria. Of 271 patients (56%) who selected an intended contraceptive method during the antenatal period, 146 (54%) received their intended method in the postpartum setting. In patients seen by residents, 101 (44%) initiated their intended method postpartum compared to 45 (18%) patients seen by certified nurse midwives or attending physicians (OR: 3.4 [2.3-5.2]). Patients who selected a contraceptive method in the antenatal setting were significantly more likely to receive more effective birth control compared to those who did not (OR: 2.0 [1.4-2.8]). Conclusions: Patients receiving contraceptive counseling from residents during the antenatal period were significantly more likely to receive their intended method of postpartum birth control. Selection of contraceptive method in the prenatal setting may help ensure that more effective methods are obtained postpartum by patients who desire them.
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