CenteringPregnancy® Increases the Likelihood of Postpartum Visit and Contraceptive Use [2B]

• Published in: Obstetrics and gynecology (New York. 1953) Vol. 133 Suppl 1; no. 1; p. 21S
• Main Authors: Yamada, Rei, Wolf, Abigail
• Format: Journal Article
• Language: English
• Published: by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved 01.05.2019
• ISSN: 0029-7844; 1873-233X
• DOI: 10.1097/01.AOG.0000559387.81474.7b

INTRODUCTION:The postpartum visit provides an important opportunity for women to discuss contraceptive options with their provider, but as many as 40% of women do not seek postpartum care. There are limited data on postpartum visit attendance and contraceptive use among women who receive group prenatal care. We studied the postpartum visit attendance and contraceptive use among women in our CenteringPregnancy program. METHODS:We conducted a retrospective chart review of 90 CenteringPregnancy participants who delivered their babies between June 2017 and June 2018 at an urban university hospital. We sent an online survey to the 58 participants who were between 3 and 6 months postpartum during the data collection period to ask about their current contraceptive use. This work was approved by Thomas Jefferson Universityʼs Institutional Review Board. RESULTS:Of the 90 participants, 88% (79) attended their individual postpartum visit in the first 90 days after delivery. Thirty-one surveys were completed between 3 and 6 months postpartum; 77% (24) reported using a contraceptive method. Of those, 54% (13) reported using a long-acting reversible contraceptive, and 88% (21) were happy with their contraceptive method. Of the 25 participants who reported being sexually active, 84% (21) reported contraceptive use. CONCLUSION:In our population, CenteringPregnancy increased attendance at the postpartum visit. The additional contact time and structured educational content in CenteringPregnancy create more opportunities for providers to counsel women about contraceptive options and may lead to increased uptake of long-acting reversible contraceptives compared to traditional prenatal care.