Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation

University of Michigan

Status: Completed

Conditions: Pregnancy Related

Treatments: Other: Implementation Toolkit

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT03774797

HUM00126810

Details and patient eligibility

About

The objective of this study is to test and disseminate tools that drive successful immediate postpartum Long-Acting Reversible Contraception (LARC) implementation. The long-term goal is to reduce unintended pregnancy soon after childbirth by increasing access to immediate postpartum LARC for women who desire it.

Full description

Based on previous work, the investigators have generated a toolkit to guide the integration of immediate postpartum LARC services into widespread clinical practice. In the proposed work, this toolkit will be used to initiate immediate postpartum LARC services in a single site with low baseline immediate postpartum LARC uptake (Michigan Medicine). The investigators will conduct a feasibility study using mixed methods to assess acceptability and appropriateness of toolkit items; patient experience of care; immediate postpartum LARC utilization rate; and prenatal contraceptive counseling rate.

Enrollment: 592 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female (patients)
• Pregnant (patients)
• Receiving obstetrical care at Michigan Medicine (patients)
• L&D provider at Michigan Medicine (providers)

Exclusion criteria

• non-English speaking
• unable to provide informed consent

Trial design

592 participants in 3 patient groups

Pre-Implementation Patients

Description:

Enrolled patients will take online surveys following a prenatal or a postpartum visit.

Post-Implementation Patients

Description:

All enrolled patients will take online surveys following a prenatal or a postpartum visit. A subset will be interviewed after the postpartum survey.

Treatment:

Other: Implementation Toolkit

Post-Implementation Providers

Description:

All enrolled providers will take online surveys at 6-12 months after program implementation, and a subset will be interviewed.

Treatment:

Other: Implementation Toolkit