Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

592 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-01

Study Completion Date

2020-08-16

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Pregnancy Related

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Pre-Implementation Patients

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

No interventions assigned to this group

Post-Implementation Patients

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

Implementation Toolkit

Intervention Type OTHER

Post-implementation patients and providers will be assessed after the implementation toolkit has been used to improve service delivery at the study site.

Post-Implementation Providers

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

Implementation Toolkit

Intervention Type OTHER

Post-implementation patients and providers will be assessed after the implementation toolkit has been used to improve service delivery at the study site.

Interventions

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Implementation Toolkit

Post-implementation patients and providers will be assessed after the implementation toolkit has been used to improve service delivery at the study site.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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