Outcomes of a two-visit protocol for long acting reversible contraception for adolescents and young adults

一项针对青少年和年轻成人的长效可逆避孕方法的两步就诊方案的结果

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Abstract

OBJECTIVES: To examine outcomes of a 2-visit protocol for placement of intrauterine or subdermal contraception. STUDY DESIGN: We identified all women ages 15 to 27 who received an order for an intrauterine or subdermal contraceptive between January 2014-December 2016. We examined time from order to contraceptive placement and reasons for incomplete orders. RESULTS: We identified 1,192 unique patients who received 1,323 orders for intrauterine or subdermal contraceptives; 68% were completed at a second visit. The median time from order to placement was 22 days (interquartile range = 15-35). Of incomplete orders, 41% were related to logistics of a subsequent visit. Twenty-eight percent of patients had a subsequent pregnancy within the study period. CONCLUSIONS: Efforts to provide same-day access for all contraceptive methods are needed.

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