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State variations in insertion of long-acting reversible contraception during delivery hospitalization. | LitMetric

AI Article Synopsis

  • The study examined immediate postpartum long-acting reversible contraception (IPP LARC) insertion rates across 26 states and the District of Columbia during hospitalizations in 2020.
  • The rates of IPP LARC varied significantly among the states, ranging from 2.55 to 637.25 insertions per 10,000 deliveries.
  • It was found that Medicaid-covered deliveries had higher insertion rates compared to those with private insurance in most states, highlighting disparities based on payor type.

Article Abstract

Objectives: This study aimed to describe immediate postpartum long-acting reversible contraception (IPP LARC) insertion rates during delivery hospitalizations at the state level and by payor type.

Study Design: This is a cross-sectional study of 26 states and District of Columbia using 2020 State Inpatient Database.

Results: In 2020, IPP LARC insertion rates varied widely by states, ranging from 2.55 to 637.25 per 10,000 deliveries. Rates were higher for deliveries with Medicaid as primary expected payor than with private insurance in all states but District of Columbia.

Conclusions: Rates of IPP LARC insertion varied in 2020 by state and were higher for deliveries with Medicaid as primary expected payor.

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Source
http://dx.doi.org/10.1016/j.contraception.2024.110509DOI Listing

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