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Contraception. 2013 Nov;88(5):629-35. doi: 10.1016/j.contraception.2013.05.012. Epub 2013 May 29.

Same-day LARC insertion attitudes and practices.

Author information

  • 1Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA 94118, USA. Electronic address: antonia.biggs@ucsf.edu.

Abstract

BACKGROUND:

Little is known regarding clinicians' attitudes about or the extent to which the recommendation to offer same-day insertions for long-acting reversible contraception (LARC) is applied in practice.

STUDY DESIGN:

Since 2006, 47 family planning agencies in Colorado and Iowa participated in two initiatives to reduce unintended pregnancy by increasing LARC provision. Clinic directors (n = 45) and clinicians (n = 114) participating in these initiatives were interviewed and surveyed regarding their LARC provision practices and attitudes.

RESULTS:

Agencies required fewer visits for the contraceptive implant than for the intrauterine device (IUD). Only 18% of agencies typically offered an IUD, and 36% typically offered an implant in one visit. Years of experience and professional title significantly predicted attitudes about the number of visits required to get LARC.

DISCUSSION:

Barriers must be overcome for full implementation of professional LARC guidelines and for more women to receive chosen methods without the extra burden of multiple visits.

Copyright © 2013 Elsevier Inc. All rights reserved.

KEYWORDS:

Barriers to care; Colorado; Family planning; Iowa; Long-acting reversible contraception; Low income; Professional guidelines; Women

[PubMed - indexed for MEDLINE]
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