{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:53:07Z","timestamp":1773298387895,"version":"3.50.1"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n            <jats:title>OBJECTIVE:<\/jats:title>\n            <jats:p>To assess women's preferences for contraception after delivery and to compare use with preferences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>In a prospective cohort study of women aged 18\u201344 years who wanted to delay childbearing for at least 2 years, we interviewed 1,700 participants from eight hospitals in Texas immediately postpartum and at 3 and 6 months after delivery. At 3 months, we assessed contraceptive preferences by asking what method women would like to be using at 6 months. We modeled preference for highly effective contraception and use given preference according to childbearing intentions using mixed-effects logistic regression testing for variability across hospitals and differences between those with and without immediate postpartum long-acting reversible contraception (LARC) provision.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>Approximately 80% completed both the 3- and 6-month interviews (1,367\/1,700). Overall, preferences exceeded use for both\u2014LARC: 40.8% (n=547) compared with 21.9% (n=293) and sterilization: 36.1% (n=484) compared with 17.5% (n=235). In the mixed-effects logistic regression models, several demographic variables were associated with a preference for LARC among women who wanted more children, but there was no significant variability across hospitals. For women who wanted more children and had a LARC preference, use of LARC was higher in the hospital that offered immediate postpartum provision (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;.035) as it was for U.S.-born women (odds ratio [OR] 2.08, 95% CI 1.17\u20133.69) and women with public prenatal care providers (OR 2.04, 95% CI 1.13\u20133.69). In the models for those who wanted no more children, there was no significant variability in preferences for long-acting or permanent methods across hospitals. However, use given preference varied across hospitals (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;.001) and was lower for black women (OR 0.26, 95% CI 0.12\u20130.55) and higher for U.S.-born women (OR 2.32, 95% CI 1.36\u20133.96), those 30 years of age and older (OR 1.82, 95% CI 1.07\u20133.09), and those with public prenatal care providers (OR 2.04, 95% CI 1.18\u20133.51).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION:<\/jats:title>\n            <jats:p>Limited use of long-acting and permanent contraceptive methods after delivery is associated with indicators of health care provider and system-level barriers. Expansion of immediate postpartum LARC provision as well as contraceptive coverage for undocumented women could reduce the gap between preference and use.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/aog.0000000000002136","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T14:41:44Z","timestamp":1499784104000},"page":"393-402","source":"Crossref","is-referenced-by-count":53,"title":["Contraception After Delivery Among Publicly Insured Women in Texas"],"prefix":"10.1097","volume":"130","author":[{"given":"Joseph E.","family":"Potter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Coleman-Minahan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kari","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel A.","family":"Powers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Dillaway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda J.","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Hopkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Grossman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230711","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1097\/AOG.0000000000000841","article-title":"Contraception after delivery and short interpregnancy intervals among women in the United States","volume":"125","author":"White","year":"2015","journal-title":"Obstet 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Care"},{"key":"R13-20230711","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.contraception.2005.10.014","article-title":"Barriers to obtaining a desired postpartum tubal sterilization","volume":"73","author":"Zite","year":"2006","journal-title":"Contraception"},{"key":"R14-20230711","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1363\/4422812","article-title":"Frustrated demand for sterilization among low-income Latinas in El Paso, Texas","volume":"44","author":"Potter","year":"2012","journal-title":"Perspect Sex Reprod Health"},{"key":"R15-20230711","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.contraception.2007.09.011","article-title":"A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization 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(2013)"},{"key":"R19-20230711","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.contraception.2014.06.039","article-title":"Unmet demand for highly effective postpartum contraception in Texas","volume":"90","author":"Potter","year":"2014","journal-title":"Contraception"},{"key":"R20-20230711","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/AOG.0000000000001201","article-title":"Barriers to postpartum contraception in Texas and pregnancy within 2 years of delivery","volume":"127","author":"Potter","year":"2016","journal-title":"Obstet Gynecol"},{"key":"R21-20230711","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.contraception.2012.10.014","article-title":"Characteristics associated with interest in long-acting reversible contraception in a postpartum population","volume":"88","author":"Tang","year":"2013","journal-title":"Contraception"},{"key":"R22-20230711","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/AOG.0000000000001798","article-title":"Implementing immediate postpartum long-acting reversible contraception programs","volume":"129","author":"Hofler","year":"2017","journal-title":"Obstet Gynecol"},{"key":"R23-20230711","article-title":"The availability and use of postpartum LARC in Mexico and among Hispanics in the United States","author":"Potter","year":"2016","journal-title":"Matern Child Health J"},{"key":"R25-20230711","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1097\/AOG.0000000000000137","article-title":"Factors influencing the provision of long-acting reversible contraception in California","volume":"123","author":"Biggs","year":"2014","journal-title":"Obstet Gynecol"},{"key":"R26-20230711","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1097\/01.AOG.0000157208.37923.17","article-title":"Failure to obtain desired postpartum sterilization: risk and predictors","volume":"105","author":"Zite","year":"2005","journal-title":"Obstet Gynecol"},{"key":"R28-20230711","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1093\/sf\/sov043","article-title":"Hispanics at the starting line: poverty among newborn infants in established gateways and new destinations","volume":"94","author":"Lichter","year":"2015","journal-title":"Soc Forces"}],"container-title":["Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006250-201708000-00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T19:39:15Z","timestamp":1689104355000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006250-201708000-00020"}},"subtitle":["Use Compared With Preference"],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/aog.0000000000002136","relation":{},"ISSN":["0029-7844"],"issn-type":[{"value":"0029-7844","type":"print"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}