Clinical Edge

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Inpatient Postpartum LARC & Sterilization

Obstet Gynecol; ePub 2017 May 5; Moniz, et al

Long-acting reversible contraception (LARC) insertion among US users increased from 2008 to 2013, but remained less than 2% of the sterilization rate, a recent study found. The retrospective cohort study used the 2008-2013 National Inpatient Sample and examined associations between predictors and likelihood of LARC and sterilization and compared characteristics of LARC and sterilization users. Researchers found:

  • 4,691,683 discharges were included, representing 22,667,204 delivery hospitalizations.
  • LARC insertion increased from 1.86 (2008-2009) to 13.5 (2012-2013) per 10,000 deliveries but remained <2% of the sterilization rate.
  • LARC use was highest among women with medical comorbidities, nonprivate payer, and at urban teaching hospitals.
  • Sterilization was least likely among women aged ≤24 years and most likely with cesarean delivery.


Moniz MH, Chang T, Heisler M, et al. Inpatient postpartum long-acting reversible contraception and sterilization in the United States, 2008-2013. [Published online ahead of print May 5, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000001970.