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Erschienen in: Maternal and Child Health Journal 9/2017

26.08.2016

The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States

verfasst von: Joseph E. Potter, Celia Hubert, Kari White

Erschienen in: Maternal and Child Health Journal | Ausgabe 9/2017

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Abstract

Objectives In the 1980s, policy makers in Mexico led a national family planning initiative focused, in part, on postpartum IUD use. The transformative impact of this initiative is not well known, and is relevant to current efforts in the United States (US) to increase women’s use of long-acting reversible contraception (LARC). Methods Using six nationally representative surveys, we illustrate the dramatic expansion of postpartum LARC in Mexico and compare recent estimates of LARC use immediately following delivery through 18 months postpartum to estimates from the US. We also examine unmet demand for postpartum LARC among 321 Mexican-origin women interviewed in a prospective study on postpartum contraception in Texas in 2012, and describe differences in the Mexican and US service environments using a case study with one of these women. Results Between 1987 and 2014, postpartum LARC use in Mexico doubled, increasing from 9 to 19 % immediately postpartum and from 13 to 26 % by 18 months following delivery. In the US, <0.1 % of women used an IUD or implant immediately following delivery and only 9 % used one of these methods at 18 months. Among postpartum Mexican-origin women in Texas, 52 % of women wanted to use a LARC method at 6 months following delivery, but only 8 % used one. The case study revealed provider and financial barriers to postpartum LARC use. Conclusions Some of the strategies used by Mexico’s health authorities in the 1980s, including widespread training of physicians in immediate postpartum insertion of IUDs, could facilitate women’s voluntary initiation of postpartum LARC in the US.
Fußnoten
1
INEGI. 2014. “Consulta interactiva de datos.” in Censos y conteos de población y vivienda: INEGI.
 
Literatur
Zurück zum Zitat Aiken, A. R., Creinin, M., Kaunitz, A. M., et al. (2014). Global fee prohibits postpartum provision of the most effective reversible methods. Contraception, 90(5), 466–467.CrossRefPubMedPubMedCentral Aiken, A. R., Creinin, M., Kaunitz, A. M., et al. (2014). Global fee prohibits postpartum provision of the most effective reversible methods. Contraception, 90(5), 466–467.CrossRefPubMedPubMedCentral
Zurück zum Zitat American College of Obstetricians and Gynecologists. (2011). Practice Bulletin No. 121: Long-acting reversible contraception: Implants and intrauterine devices. Obstetrics and Gynecology, 118, 184–196.CrossRef American College of Obstetricians and Gynecologists. (2011). Practice Bulletin No. 121: Long-acting reversible contraception: Implants and intrauterine devices. Obstetrics and Gynecology, 118, 184–196.CrossRef
Zurück zum Zitat Aznar, R., Lara, R., & Giner, J. (1985). Investigacion Biomedica. In Martinez-Manautou J. (Ed.), La Revolucion Demografica en Mexico 1970–1980 (pp. 105–129). Mexico: Insituto Mexicano de Seguro Social. Aznar, R., Lara, R., & Giner, J. (1985). Investigacion Biomedica. In Martinez-Manautou J. (Ed.), La Revolucion Demografica en Mexico 1970–1980 (pp. 105–129). Mexico: Insituto Mexicano de Seguro Social.
Zurück zum Zitat Bertrand, J. T., Sullivan, T. M., Knowles, E. A., et al. (2014). Contraceptive method skew and shifts in method mix in low- and middle-income countries. International Perspectives on Sexual and Reproductive Health, 40(3), 144–153.CrossRefPubMed Bertrand, J. T., Sullivan, T. M., Knowles, E. A., et al. (2014). Contraceptive method skew and shifts in method mix in low- and middle-income countries. International Perspectives on Sexual and Reproductive Health, 40(3), 144–153.CrossRefPubMed
Zurück zum Zitat Boonstra, H., Duran, V., Gamble, V. N., et al. (2000). The ‘boom and bust phenomenon’: The hopes, dreams and broken promises of the contraceptive revolution. Contraception, 61(1), 9–25.CrossRefPubMed Boonstra, H., Duran, V., Gamble, V. N., et al. (2000). The ‘boom and bust phenomenon’: The hopes, dreams and broken promises of the contraceptive revolution. Contraception, 61(1), 9–25.CrossRefPubMed
Zurück zum Zitat Bronfman, M., López, E., & Tuirán, R. (1986). Práctica anticonceptiva y clases sociales en México: la experiencia reciente. Estudios demográficos y urbanos, 1(2), 165–203.CrossRefPubMed Bronfman, M., López, E., & Tuirán, R. (1986). Práctica anticonceptiva y clases sociales en México: la experiencia reciente. Estudios demográficos y urbanos, 1(2), 165–203.CrossRefPubMed
Zurück zum Zitat Cleland, J., & Shah, I. H. (2014). Postpartum and post abortion contraception: A synthesis of the evidence. Seminar on promoting postpartum and post-abortion family planning-challenges and opportunities. Cochin: IUSSP. Cleland, J., & Shah, I. H. (2014). Postpartum and post abortion contraception: A synthesis of the evidence. Seminar on promoting postpartum and post-abortion family planning-challenges and opportunities. Cochin: IUSSP.
Zurück zum Zitat Gomez, A. M., Fuentes, L., & Allina, A. (2014). Women or LARC first? Reproductive autonomy and the promotion of long-acting reversible contraceptive methods. Perspectives on Sexual and Reproductive Health, 46(3), 171–175. doi:10.1363/46e1614.CrossRefPubMedPubMedCentral Gomez, A. M., Fuentes, L., & Allina, A. (2014). Women or LARC first? Reproductive autonomy and the promotion of long-acting reversible contraceptive methods. Perspectives on Sexual and Reproductive Health, 46(3), 171–175. doi:10.​1363/​46e1614.CrossRefPubMedPubMedCentral
Zurück zum Zitat Guttmacher Institute. (2013). Laws affecting reproductive health and rights: 2013 state policy review. New York: Guttmacher Institute. Guttmacher Institute. (2013). Laws affecting reproductive health and rights: 2013 state policy review. New York: Guttmacher Institute.
Zurück zum Zitat Hubacher, D. (2002). The checkered history and bright future of intrauterine contraception in the United States. Perspectives on Sexual and Reproductive Health, 34(2), 98–103.CrossRefPubMed Hubacher, D. (2002). The checkered history and bright future of intrauterine contraception in the United States. Perspectives on Sexual and Reproductive Health, 34(2), 98–103.CrossRefPubMed
Zurück zum Zitat Hurt, W. G. (1974). Septic pregnancy associated with Dalkon Shield intrauterine device. Obstetrics and Gynecology, 44(4), 491–495.PubMed Hurt, W. G. (1974). Septic pregnancy associated with Dalkon Shield intrauterine device. Obstetrics and Gynecology, 44(4), 491–495.PubMed
Zurück zum Zitat Jaccobson, J. L. (2000). Transforming family planning programmes: Towards a framework for advancing the reproductive rights agenda. Reproductive Health Matters, 8(15), 21–32.CrossRef Jaccobson, J. L. (2000). Transforming family planning programmes: Towards a framework for advancing the reproductive rights agenda. Reproductive Health Matters, 8(15), 21–32.CrossRef
Zurück zum Zitat Kavanaugh, M. L., Jerman, J., & Finer, L. B. (2015). Changes in use of long-acting reversible contraceptive methods among U.S. women, 2009–2012. Obstetrics and Gynecology, 126(5), 917–927.CrossRefPubMedPubMedCentral Kavanaugh, M. L., Jerman, J., & Finer, L. B. (2015). Changes in use of long-acting reversible contraceptive methods among U.S. women, 2009–2012. Obstetrics and Gynecology, 126(5), 917–927.CrossRefPubMedPubMedCentral
Zurück zum Zitat Martinez-Manautou, J. (Ed.). (1985). La Revolucion Demografica en Mexico 1970–1980. Mexico: Instituto Mexicano de Seguro Social. Martinez-Manautou, J. (Ed.). (1985). La Revolucion Demografica en Mexico 1970–1980. Mexico: Instituto Mexicano de Seguro Social.
Zurück zum Zitat Moniz, M. H., Chang, T., Davis, M. M., et al. (2016). Medicaid administrator experiences with the implementation of immediate postpartum long-acting reversible contraception. Women’s Health Issues, 26(3), 313–320.CrossRefPubMed Moniz, M. H., Chang, T., Davis, M. M., et al. (2016). Medicaid administrator experiences with the implementation of immediate postpartum long-acting reversible contraception. Women’s Health Issues, 26(3), 313–320.CrossRefPubMed
Zurück zum Zitat Moniz, M. H., Dalton, V. K., Davis, M. M., et al. (2015). Characterization of Medicaid policy for immediate postpartum contraception. Contraception, 92(6), 523–531.CrossRefPubMed Moniz, M. H., Dalton, V. K., Davis, M. M., et al. (2015). Characterization of Medicaid policy for immediate postpartum contraception. Contraception, 92(6), 523–531.CrossRefPubMed
Zurück zum Zitat Newton, J., Harper, M., & Chan, K. K. (1977). Immediate post-placental insertion of intrauterine contraceptive devices. Lancet, 2(8032), 272–274.CrossRefPubMed Newton, J., Harper, M., & Chan, K. K. (1977). Immediate post-placental insertion of intrauterine contraceptive devices. Lancet, 2(8032), 272–274.CrossRefPubMed
Zurück zum Zitat Potter, J. E. (1999). The persistence of outmoded contraceptive regimes: The cases of Mexico and Brazil. Population and Development Review, 25(4), 703.CrossRef Potter, J. E. (1999). The persistence of outmoded contraceptive regimes: The cases of Mexico and Brazil. Population and Development Review, 25(4), 703.CrossRef
Zurück zum Zitat Potter, J. E., & Alba, F. (1986). Population and development in Mexico since 1940: An interpretation. Population and Development Review, 12(1), 47–75.CrossRef Potter, J. E., & Alba, F. (1986). Population and development in Mexico since 1940: An interpretation. Population and Development Review, 12(1), 47–75.CrossRef
Zurück zum Zitat Potter, J. E., Hopkins, K., Aiken, A. R., et al. (2014). Unmet demand for highly effective postpartum contraception in Texas. Contraception, 90(5), 488–495.CrossRefPubMedPubMedCentral Potter, J. E., Hopkins, K., Aiken, A. R., et al. (2014). Unmet demand for highly effective postpartum contraception in Texas. Contraception, 90(5), 488–495.CrossRefPubMedPubMedCentral
Zurück zum Zitat Potter, J. E., Mojarro, O., & Nunez, L. (1987). The influence of health care on contraceptive acceptance in rural Mexico. Studies in Family Planning, 18(3), 144–156.CrossRefPubMed Potter, J. E., Mojarro, O., & Nunez, L. (1987). The influence of health care on contraceptive acceptance in rural Mexico. Studies in Family Planning, 18(3), 144–156.CrossRefPubMed
Zurück zum Zitat Teal, S. B. (2014). Postpartum contraception: Optimizing interpregnancy intervals. Contraception, 89(6), 487–488.CrossRefPubMed Teal, S. B. (2014). Postpartum contraception: Optimizing interpregnancy intervals. Contraception, 89(6), 487–488.CrossRefPubMed
Zurück zum Zitat Werth, S. R., Secura, G. M., Broughton, H. O., et al. (2015). Contraceptive continuation in Hispanic women. American Journal of Obstetrics and Gynecology, 312(3), e1–e8. doi:10.1016/j.ajog.2014.09.003. Werth, S. R., Secura, G. M., Broughton, H. O., et al. (2015). Contraceptive continuation in Hispanic women. American Journal of Obstetrics and Gynecology, 312(3), e1–e8. doi:10.​1016/​j.​ajog.​2014.​09.​003.
Zurück zum Zitat White, K., Teal, S. B., & Potter, J. E. (2015). Contraception after delivery and short interpregnancy intervals among women in the United States. Obstetrics and Gynecology, 125(6), 1471–1477.CrossRefPubMedPubMedCentral White, K., Teal, S. B., & Potter, J. E. (2015). Contraception after delivery and short interpregnancy intervals among women in the United States. Obstetrics and Gynecology, 125(6), 1471–1477.CrossRefPubMedPubMedCentral
Zurück zum Zitat World Health Organization. (2013). Programming strategies for postpartum family planning. Geneva: World Health Organization. World Health Organization. (2013). Programming strategies for postpartum family planning. Geneva: World Health Organization.
Zurück zum Zitat Zatuchni, G. I. (1968). International postpartum family planning program: Report on an action-research demonstration study. American Journal of Obstetrics and Gynecology, 100(7), 1028–1041.CrossRefPubMed Zatuchni, G. I. (1968). International postpartum family planning program: Report on an action-research demonstration study. American Journal of Obstetrics and Gynecology, 100(7), 1028–1041.CrossRefPubMed
Metadaten
Titel
The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States
verfasst von
Joseph E. Potter
Celia Hubert
Kari White
Publikationsdatum
26.08.2016
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 9/2017
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-016-2179-6

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