TY - JOUR
T1 - Effect of contraceptive choice on rapid repeat pregnancy
AU - Sackeim, Maryl G.
AU - Gurney, Elizabeth P.
AU - Koelper, Nathanael
AU - Sammel, Mary D.
AU - Schreiber, Courtney A.
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2019/3
Y1 - 2019/3
N2 - Objective: To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18 months of delivery, in a large health system and to determine the impact of contraceptive method on RRP. Study design: Retrospective cohort. Results: The prevalence of RRP among patients who delivered in August 2014 (n=804) was 27.2%. After controlling for age and sociodemographic characteristics, women experiencing RRP were less likely to have used long-acting reversible contraception (LARC) [adjusted odds ratio (aOR) 0.45, 95% confidence interval (CI) 0.24–0.85, p=.014; RRP in 19% of implant and 18% of IUD users)] and more likely to have been prescribed a progestin-only pill (aOR 5.106, 95% CI 2.157–12.083, p<.001; RRP in 53% of users) compared to women choosing all other reversible contraceptive methods. Conclusions: Postpartum LARC decreases the odds of RRP, while a prescription for progestin-only pills is not protective.
AB - Objective: To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18 months of delivery, in a large health system and to determine the impact of contraceptive method on RRP. Study design: Retrospective cohort. Results: The prevalence of RRP among patients who delivered in August 2014 (n=804) was 27.2%. After controlling for age and sociodemographic characteristics, women experiencing RRP were less likely to have used long-acting reversible contraception (LARC) [adjusted odds ratio (aOR) 0.45, 95% confidence interval (CI) 0.24–0.85, p=.014; RRP in 19% of implant and 18% of IUD users)] and more likely to have been prescribed a progestin-only pill (aOR 5.106, 95% CI 2.157–12.083, p<.001; RRP in 53% of users) compared to women choosing all other reversible contraceptive methods. Conclusions: Postpartum LARC decreases the odds of RRP, while a prescription for progestin-only pills is not protective.
KW - Long-acting reversible contraception
KW - Postpartum LARC
KW - Postpartum contraception
KW - Rapid repeat pregnancy
KW - Unintended pregnancy
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U2 - 10.1016/j.contraception.2018.11.008
DO - 10.1016/j.contraception.2018.11.008
M3 - Article
C2 - 30471261
AN - SCOPUS:85058475557
SN - 0010-7824
VL - 99
SP - 184
EP - 186
JO - Contraception
JF - Contraception
IS - 3
ER -