Coverage of immediate postpartum long-acting reversible contraception has improved birth intervals for at-risk populations

Influence of Medicaid expansion on short interpregnancy interval rates in the United States

“…Improved access to contraception can reduce short interpregnancy intervals help achieve adequate birth spacing (8,9). A recent study also showed that adding LARC reimbursement to Medicaid coverage in SC (a non-ME state) led to a decrease in short IPI further showing that access to contraception can lead to a decrease in short IPIs (13). Lack of access to contraception increases the rate in unintended pregnancies (14).…”

Postpartum Treatment for Substance Use Disorder Among Mothers of Infants with Neonatal Abstinence Syndrome and Prenatal Substance Exposure

“…We grouped counties as follows: large central metropolitan; large fringe metropolitan; and small or medium metropolitan/nonmetropolitan. 24 Maternal health insurance coverage and health care utilization variables included calendar months of Medicaid enrollment in the 12 months before and including the month of delivery, number of prenatal visits (dichotomized as <7 visits or ≥7 visits, consistent with the literature defining adequate prenatal care when gestational age at delivery is unavailable) 25 attendance at a postpartum visit (defined as at least one visit for obstetric care between 4 and 60 days after delivery) 25 and any SUD treatment during the prenatal period. Behavioral health diagnoses included SUD diagnosis in the prenatal period (categorized as any OUD, other SUD without OUD, and no SUD/OUD) and diagnosis of a co-occurring mental health condition (defined as major depression, bipolar disorder, and anxiety disorders, including generalized anxiety and posttraumatic stress disorder, schizophrenia, and perinatal mood disorders) in the prenatal period or 60 days postpartum.…”

Does the COVID-19 Pandemic Impact Reproductive Health?

“…14 Another important cost-benefit strategy to face the interruption of contraception during the pandemic is counseling and access to LARCs postpartum or postabortion, ensuring the insertion of intrauterine dispositive/implants before hospital discharge or administrate DPMA if women desire to. 8,13,15 Commitment, resources and public support for Reproductive Health Services, in ensuring that women, adolescents and men can access safe and affordable contraceptive methods should be sustained during and beyond the COVID 19 pandemic. 8,9,16 The form these services are provided and to be adapted, new needs and circumstances should be considered by ensuring quality and equity.…”