Clinical Edge

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Increased LARC Initiation & Postpartum Visits

Obstet Gynecol; ePub 2017 Sep 5; Chen, et al

Scheduling a visit 2-3 weeks after delivery is not associated with increased long-acting reversible contraception (LARC) initiation when compared with a 6-week postpartum visit, a recent study found. The study evaluated LARC initiation, specifically an intrauterine device (IUD) or contraceptive implant, at the postpartum visits between women scheduled for follow-up at 6 weeks and 2-3 week after delivery. Researchers found:

  • 512 women met eligibility criteria between December 2014 and November 2015.
  • LARC initiation rates at the postpartum visit were lower in the 2-3 week compared with the 6-week group.
  • More women completed a scheduled 2- to 3-week postpartum visit compared with a 6-week visit.
  • Deferral of any contraception initiation was higher in the 2- to 3-week group vs the 6-week group.


Chen MJ, Hou MY, Hsia JK, Cansino CD, Melo J, Creinin MD. Long-acting reversible contraception initiation with a 2- to 3-week compared with a 6-week postpartum visit. [Published online ahead of print September 5, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002246.