The impact of the COVID-19 pandemic on postpartum contraception planning

Miller, Hyman; Henkel, Andrea; Leonard, Stephanie A.; Miller, Sarah E.; Tran, Linh; Bianco, Katherine; Shaw, Kate A.

doi:10.1016/j.ajogmf.2021.100412

Cited by 16 publications

(14 citation statements)

References 4 publications

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“…The six-week postpartum modern contraceptive prevalence was comparable between the COVID-19 and historical cohort period, which differs from other settings. A published article on the impact of the COVID-19 crisis on meeting the needs of family planning showed that the proportion of women needing modern contraception declined worldwide, including in Asian countries [10,24,25] . We conducted this study during the early phase COVID-19, when the outbreak was well-controlled in our country [26] .…”

Section: Discussionmentioning

confidence: 99%

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

Sathitloetsakun

Puangsricharoen

Phutrakool

et al. 2022

Preprint

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We investigated the prevalence of postpartum contraceptives during the COVID-19 outbreak and identify factors associated with contraceptive initiation. We reviewed the electronic medical records of 4506 postpartum women who delivered at King Chulalongkorn Memorial Hospital (KCMH) during the early phase of COVID-19 in Thailand and the historical cohort period. A total of 3765 women (83.6%), of which 1821 delivered during the pandemic and 1944 during the historical cohort period, were included in this study. The proportion of women who initiated modern contraceptives at six-week postpartum was comparable between the COVID-19 (73.4%) and historical cohort (75.3%) (p = 0.27) periods. The proportion of women who initiated highly effective contraception tended to be higher during the historical cohort period (22.5%) than during the COVID-19 period (19.7%) (p = 0.05). Accessing a six-week postpartum check-up was independently associated with highly effective contraceptive initiation, of which the adjusted odds ratio (OR) (95% confidence interval) was 3.01 (2.26 to 4.02). The findings highlight that the pandemic worsened the healthcare system by limiting access to postpartum check-ups, which contributed to fewer opportunities to initiate highly effective contraception.

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Section: Discussionmentioning

confidence: 99%

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

Sathitloetsakun

Puangsricharoen

Phutrakool

et al. 2022

Preprint

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“…Two comparison groups (high-risk and low-risk cohorts) were drawn from a previous contraception study conducted at the same institution among people who gave birth between 2016 and 2019. 16 These cohorts were selected to match the cardiac cohort study time period at the same institution ( Figure 1 ). The high-risk comparison group included people with chronic comorbidities followed by maternal-fetal medicine (MFM) specialists, and the low-risk comparison group included those receiving routine prenatal care from general obstetrician–gynecologists (OB-GYNs) and advanced practice providers.…”

Section: Methodsmentioning

confidence: 99%

Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach

Miller¹,

Do²,

CRUZ³

et al. 2022

AJOG Global Reports

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“…One retrospective study compared whether patients had a contraception plan at admission and discharge during birth hospitalization before and after the COVID-19 pandemic began. Fewer people during the COVID-19 pandemic arrived to birth hospitalization with a plan for postpartum contraception than prior to COVID19 (46.0% vs. 71.0%, P < 0.01) resulting in a trend towards fewer people having a contraceptive plan at discharge (31.0% vs. 37.9%, P = 0.05) [36 ▪▪ ]. This difference does not appear to be wholly influenced by the increased use of telemedicine: another study comparing a cohort of patients who completed tele-medicine postpartum visits to those who received in person postpartum visits found an the overall similar uptake of postpartum contraception (30.4% vs. 29.6%, P = 0.69) [37].…”

Section: Ongoing Challengesmentioning

confidence: 98%

Optimizing postpartum contraception for high-risk obstetric patients

Miller

Darmawan²,

Henkel

2022

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewThis review will focus on those who are at greatest risk of maternal and neonatal morbidity from a subsequent unplanned or short interval pregnancy and the interventions to increase contraceptive uptake in the postpartum period. Recent findingsPopulations at highest risk of maternal or neonatal morbidity --those with a history of preterm birth or those with complex medical conditions --are also those at the highest risk for unintended pregnancies attributed to low-efficacy contraceptive failure/ noncontraceptive use, and many are discharged from birth hospitalization without understanding the importance of birth spacing related to their high-risk pregnancies. Current innovative strategies to improve postpartum contraception access and uptake among high-risk populations include utilizing the antenatal period to initiate contraception counseling, developing multidisciplinary teams, and incorporating multimedia-based educational tools. However, ongoing challenges that continue to pose barriers to contraception access include racial and economic disparities and the restructuring of obstetric care during the COVID-19 pandemic.

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The impact of the COVID-19 pandemic on postpartum contraception planning

Cited by 16 publications

References 4 publications

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach

Optimizing postpartum contraception for high-risk obstetric patients

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