Postpartum Contraceptive Use Among Denver-Based Adolescents and Young Adults: Association with Subsequent Repeat Delivery.
Adolescent
Adult
Child
Colorado
Contraception Behavior
/ statistics & numerical data
Female
Humans
Long-Acting Reversible Contraception
/ statistics & numerical data
Postpartum Period
Pregnancy
Prenatal Care
/ statistics & numerical data
Retrospective Studies
Time-to-Pregnancy
United States
Young Adult
Adolescent pregnancy
Interpregnancy interval
Postpartum contraception
Repeat delivery
Journal
Journal of pediatric and adolescent gynecology
ISSN: 1873-4332
Titre abrégé: J Pediatr Adolesc Gynecol
Pays: United States
ID NLM: 9610774
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
10
02
2020
revised:
27
03
2020
accepted:
29
03
2020
pubmed:
7
4
2020
medline:
5
11
2020
entrez:
7
4
2020
Statut:
ppublish
Résumé
To determine the association of postpartum contraceptive use with repeat deliveries among adolescents and youth. Retrospective, observational analysis of electronic health record data. Single, urban facility in Denver, Colorado, United States. Women aged 10-24 years who gave birth between January 1, 2011 and December 31, 2015. Postpartum contraceptive use and time to subsequent delivery. Among 4068 women, 1735 (43%) used postpartum contraception. In adjusted analyses, characteristics associated with contraceptive use included Hispanic ethnicity (relative risk [RR], 1.1; P = .03), incremental prenatal visits (RR, 1.01; P = .047), and attendance at postpartum care (RR, 1.60; P < .001). Long-acting reversible contraceptive (LARC) use was higher among women younger than 15 years (reference: 20-24 years; RR, 1.12; P < .001) and lower among women aged 18-19 years (RR, 0.93; P = .009). Hispanic women had higher rates of LARC use than non-Hispanic women (RR, 1.07; P = .02). Compared with inpatient LARC placement, outpatient placement (1-4 weeks and 5 or more weeks) rates were lower (RR, 0.77 and RR, 0.89, respectively; P < .001). Time to subsequent delivery was shorter in non-LARC users (median, 659 days) and contraception nonusers (median, 624 days) compared with LARC users (median, 790 days; P < .001); non-LARC postpartum contraceptive use did not significantly alter time to repeat delivery compared with that in women who used no method (P = .24). Postpartum LARC use reduced the risk of repeat pregnancy with a significant increase in time to the next delivery. Non-LARC use was not different from no contraceptive use in terms of time to repeat delivery.
Identifiants
pubmed: 32251837
pii: S1083-3188(20)30202-3
doi: 10.1016/j.jpag.2020.03.012
pmc: PMC7650863
mid: NIHMS1642220
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
393-397.e1Subventions
Organisme : NICHD NIH HHS
ID : K12 HD001271
Pays : United States
Informations de copyright
Copyright © 2020 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
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