Interpregnancy intervals: impact of postpartum contraceptive effectiveness and coverage

Bocanegra, Heike Thiel de; Chang, Richard N.; Howell, M. René; Darney, Philip D.

doi:10.1016/j.ajog.2013.12.020

Cited by 118 publications

(79 citation statements)

References 23 publications

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“…Women with SIPI are more likely to be young, non-Hispanic Black, and to have lower income and lower educational attainment (Cheslack Postava & Winter, 2015;Copen et al, 2015;Gemmill & Lindberg, 2013). They are also less likely to report use of highly effective methods of contraception (Thiel de Bocanegra, Chang, Howell, & Darney, 2014;White, Teal, & Potter, 2015).…”

Section: Introductionmentioning

confidence: 96%

Short Interpregnancy Intervals: Results from the First Baby Study

Masinter

Dina

Kjerulff

et al. 2017

Women's Health Issues

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Section: Introductionmentioning

confidence: 96%

Short Interpregnancy Intervals: Results from the First Baby Study

Masinter

Dina

Kjerulff

et al. 2017

Women's Health Issues

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“…This is unfortunate as postpartum care plays an important role in ensuring glycemic control, and postpartum contraception is critical to preventing rapid repeat pregnancy [15]. As pregnancy is more likely to be complicated for women with diabetes, and hyperglycemia increases risk of adverse birth outcomes [8], focused efforts on interconception care for women with diabetes are warranted.…”

Section: Discussionmentioning

confidence: 99%

Postpartum care and contraception provided to women with gestational and preconception diabetes in California's Medicaid program

et al. 2017

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Objectives: To compare rates of postpartum care and contraception provided to women with gestational or preconception diabetes mellitus to women with no known diabetes mellitus. Methods: A retrospective cohort study of 199,860 women aged 15-44 years who were continuously enrolled in California's Medicaid program, Medi-Cal, from 43 days prior to 99 days after delivering in 2012. Claims for postpartum clinic visits and contraceptive supplies were compared for 11,494 mothers with preconception diabetes, 17,970 mothers with gestational diabetes, and 170,396 mothers without diabetes. Multivariable logistic regression was used to control for maternal age, race/ethnicity, primary language, residence in a primary care shortage area, state-funded healthcare program and Cesarean delivery, when examining the effects of diabetes on postpartum care and contraception. Results: Although postpartum clinic visits were more common with diabetes (55% preconception, 55% gestational, 48% no diabetes, p=b.0001), almost half did not receive any postpartum care within 99 days of delivery. Women with pregnancies complicated by diabetes were more likely to receive permanent contraception than women without diabetes (preconception diabetes, aOR: 1.39, 95% CI: 1.31-1.47; gestational diabetes, aOR: 1.20, 95% CI: 1.14-1.27). However, among women without permanent contraception, less than half received any reversible contraception within 99 days of delivery (44% preconception, 43% gestational, 43% no diabetes) and less effective, barrier contraceptives were more commonly provided to women with preconception diabetes than women without diabetes (aOR: 1.24, 95% CI:1.16-1.33). Conclusions: Low-income Californian women with pregnancies complicated by diabetes do not consistently receive postpartum care or contraception that may prevent complication of future pregnancies. Implications: Efforts are needed to improve rates of provision of postpartum care and high quality contraceptive services to low income women in California, particularly following pregnancies complicated by diabetes.

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“…intrauterine devices) had higher odds of achieving IPIs of greater than 18 months compared to those on user-dependent hormonal methods (e.g. oral contraceptives) [13].…”

Section: Introductionmentioning

confidence: 99%

Interpregnancy intervals, birth outcomes and educational needs

Nk¹,

Cra²,

Reyes³

et al. 2017

Front WomensHealt

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Inter-Pregnancy Interval (IPI) is defined as the time between pregnancies; a short IPI has been associated with negative birth outcomes. The goal of this retrospective cohort study was to examine existing IPI data from all Kansas women in the United States from 2005-2013 who had more than one live singleton birth. Unmatched and matched births were used to model the odds of preterm birth, small for gestational age birth, and low birth weight with IPI as the predictor variable of interest. The data set included 25,754 singleton births. The incidence rate of preterm birth for second births was 7.0%, small for gestational age was 8.6%, and 5.0% for low birth weight; third births rates were 7.1%, 8.2% and 5.0%, respectively. Short IPIs may not be causally associated with low birthweight, preterm birth, and small for gestational age. However short IPIs should still be used as an indicator of risk status.

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Interpregnancy intervals: impact of postpartum contraceptive effectiveness and coverage

Cited by 118 publications

References 23 publications

Short Interpregnancy Intervals: Results from the First Baby Study

Short Interpregnancy Intervals: Results from the First Baby Study

Postpartum care and contraception provided to women with gestational and preconception diabetes in California's Medicaid program

Interpregnancy intervals, birth outcomes and educational needs

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