Committee Opinion No. 670: Immediate Postpartum Long-Acting Reversible Contraception : Obstetrics & Gynecology

Secondary Logo

Journal Logo

Online College Publications

Committee Opinion No. 670: Immediate Postpartum Long-Acting Reversible Contraception

Author Information
Obstetrics & Gynecology 128(2):p e32-e37, August 2016. | DOI: 10.1097/AOG.0000000000001587

Abstract

Immediate postpartum long-acting reversible contraception (LARC) has the potential to reduce unintended and short-interval pregnancy. Women should be counseled about all forms of postpartum contraception in a context that allows informed decision making. Immediate postpartum LARC should be offered as an effective option for postpartum contraception; there are few contraindications to postpartum intrauterine devices and implants. Obstetrician–gynecologists and other obstetric care providers should discuss LARC during the antepartum period and counsel all pregnant women about options for immediate postpartum initiation. Education and institutional protocols are needed to raise clinician awareness and to improve access to immediate postpartum LARC insertion. Obstetrician–gynecologists and other obstetric care providers should incorporate immediate postpartum LARC into their practices, counsel women appropriately about advantages and risks, and advocate for institutional and payment policy changes to support provision.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

Full Text Access for Subscribers:

You can read the full text of this article if you:

Access through Ovid