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Postpartum Contraception Use Rates of Patients Participating in the Centering Pregnancy Model of Care Versus Traditional Obstetrical Care
Journal article   Peer reviewed

Postpartum Contraception Use Rates of Patients Participating in the Centering Pregnancy Model of Care Versus Traditional Obstetrical Care

Julie Z DeCesare, Dawn Hannah and Raid Amin
Journal of reproductive medicine, Vol.62(1-2), pp.45-49
01/01/2017
PMID: 29999281
Web of Science ID: WOS:000392902900009

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11 Times Cited - Web of Science

Abstract

OBJECTIVE: To examine whether postpartum contraceptive rates are higher in the CenteringPregnancy population as compared to patients who choose to participate in traditional prenatal care. Centering Pregnancy is a model of obstetrical care that allows for enhanced contraceptive education. STUDY DESIGN: All patients who were delivered within the Florida State University College of Medicine Obstetrics and Gynecology residency from October 31, 2010, to October 31, 2011, were included in the study. A retrospective chart review was undertaken to compare the postpartum contraceptive use of patients in traditional obstetric care versus patients in CenteringPregnancy. RESULTS: A total of 472 obstetrical charts were reviewed, with 350 women participating in traditional care and 122 women in CenteringPregnancy. Using Fisher's exact test, the 2 groups' postpartum contraceptive use was compared. Analysis revealed that 57.4% of CenteringPregnancy patients returned for postpartum contraception, vs. 37.7% of traditional prenatal care patients. Furthermore, 24.5% of CenteringPregnancy patients chose long-acting reversible contraception as compared to only 8.28% of traditional patients. CONCLUSION: Centering Pregnancy leads to an increase in use of postpartum contraception when compared to traditional prenatal care. Long-acting reversible contraceptive usage rates were also significantly higher among CenteringPregnancy patients and were the most frequently chosen method of family planning.

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