Contraception/Family Planning Are Centering Pregnancy Patients More Likely Than Traditional Care Patients to Select LARC? [1F]

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Abstract

INTRODUCTION:

Postpartum contraception is an integral part of a woman's medical care. Adequate counseling may not always occur prenatally, leaving the woman without a contraceptive plan postpartum. CenteringPregnancy (CP) focuses an entire session on contraceptive options. We investigated whether CP patients were more likely than Traditional Care (TC) patients to desire contraception, and more specifically LARC.

METHODS:

A retrospective chart review was conducted comparing all CP patients to a matched cohort of TC patients seen at UF Health between March 2015 and March 2017. Chi square analysis was performed, with a priori significance set at 0.05. Logistic regression models estimated the relationship between the outcome and CP versus TC participation, controlling for patient characteristics.

RESULTS:

A total of 153 CP patients and 259 TC patients were included in the study. CP patients used significantly more postpartum contraception (85.16% vs. 75.73%; p=0.039) and specifically more LARC (36.80% vs. 20.39%; p=0.001) than traditional care patients. After controlling for patient characteristics, CP patients were 2.02 times more likely to utilize LARC than TC patients (95% CI: 1.17-3.50).

CONCLUSION:

Patients enrolled in CP are more likely to utilize postpartum contraception and specifically LARC. It is possible that the increased discussion within the group setting, and the knowledge that peers are selecting contraceptive methods, may motivate patients to desire postpartum contraception. Further investigation would be necessary to determine if these findings are reproducible.

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