The objective of this study is to test and disseminate tools that drive successful immediate postpartum Long-Acting Reversible Contraception (LARC) implementation. The long-term goal is to reduce unintended pregnancy soon after childbirth by increasing access to immediate postpartum LARC for women who desire it.
Based on previous work, the investigators have generated a toolkit to guide the integration of immediate postpartum LARC services into widespread clinical practice. In the proposed work, this toolkit will be used to initiate immediate postpartum LARC services in a single site with low baseline immediate postpartum LARC uptake (Michigan Medicine). The investigators will conduct a feasibility study using mixed methods to assess acceptability and appropriateness of toolkit items; patient experience of care; immediate postpartum LARC utilization rate; and prenatal contraceptive counseling rate.
Study Type
OBSERVATIONAL
Enrollment
592
Post-implementation patients and providers will be assessed after the implementation toolkit has been used to improve service delivery at the study site.
Michigan Medicine
Ann Arbor, Michigan, United States
Patient experience of care
Patient online surveys about their experience of care during prenatal visits, hospital stay, or postpartum office visit
Time frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Acceptability of care process - patients
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
Time frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Appropriateness of care process - patients
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
Time frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Acceptability of implementation process - study site maternity care providers
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Time frame: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Appropriateness of implementation process - study site maternity care providers
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Time frame: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Acceptability of implementation toolkit items - patients
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30-minute follow-up in-person interview of subgroup of patients who completed surveys
Time frame: Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care
Appropriateness of implementation toolkit items - patients
30-minute follow-up in-person interview of subgroup of patients who completed surveys
Time frame: Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care
Acceptability of implementation toolkit items - providers
30-minute follow-up in-person interview of subgroup of providers who completed survey
Time frame: Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care
Appropriateness of implementation toolkit items - providers
30-minute follow-up in-person interview of subgroup of providers who completed survey
Time frame: Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care
Perinatal contraceptive counseling rate
Proportion of delivered patients with documentation of prenatal counseling about postpartum contraception
Time frame: Measured monthly, up to 24 months after toolkit implementation
Immediate postpartum LARC provision rate
Proportion of delivered patients with documentation of preference for immediate postpartum LARC who receive a LARC device
Time frame: Measured monthly, up to 24 months after toolkit implementation