{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:45:19Z","timestamp":1777898719358,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health","award":["R15HD101793"],"award-info":[{"award-number":["R15HD101793"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Preliminary findings from selected health systems revealed interruptions in reproductive health care services due to the COVID-19 pandemic. We estimated changes in postpartum contraceptive provision associated with the start of the COVID-19 pandemic in Maine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used the Maine Health Data Organization\u2019s All Payer Claims Database for deliveries from October 2015 through March 2021 (n\u2009=\u200945 916). Using an interrupted time-series analysis design, we estimated changes in provision rates of long-acting reversible contraception (LARC), permanent contraception, and moderately effective contraception within 3 and 60 days of delivery after the start of the COVID-19 pandemic. We performed 6- and 12-month analyses (April 2020\u2013September 2020, April 2020\u2013March 2021) as compared with the reference period (October 2015\u2013March 2020). We used Poisson regression models to calculate level-change rate ratios (RRs) and 95% CIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The 6-month analysis found that provision of LARC (RR\u2009=\u20091.89; 95% CI, 1.76-2.02) and moderately effective contraception (RR\u2009=\u20091.51; 95% CI, 1.33-1.72) within 3 days of delivery increased at the start of the COVID-19 pandemic, while provision of LARC (RR\u2009=\u20090.95; 95% CI, 0.93-0.97) and moderately effective contraception (RR\u2009=\u20091.08; 95% CI, 1.05-1.11) within 60 days of delivery was stable. Rates of provision of permanent contraception within 3 days (RR\u2009=\u20090.70; 95% CI, 0.63-0.78) and 60 days (RR\u2009=\u20090.71; 95% CI, 0.63-0.80) decreased. RRs from the 12-month analysis were generally attenuated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Disruptions in postpartum provision of permanent contraception occurred at the beginning of the COVID-19 pandemic in Maine. Public health policies should include guidance for contraceptive provision during public health emergencies and consider designating permanent contraception as a nonelective procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549231170198","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T08:47:55Z","timestamp":1683017275000},"page":"655-663","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Provision of Postpartum Contraception Before and After the Start of the COVID-19 Pandemic in Maine"],"prefix":"10.1177","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9845-6476","authenticated-orcid":false,"given":"Catherine","family":"Gelsinger","sequence":"first","affiliation":[{"name":"Muskie School of Public Service, University of Southern Maine, Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Palmsten","sequence":"additional","affiliation":[{"name":"Pregnancy and Child Health Research Center, HealthPartners Institute, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather S.","family":"Lipkind","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariah","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Muskie School of Public Service, University of Southern Maine, Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Ackerman-Banks","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A.","family":"Hutcheon","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, The University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine A.","family":"Ahrens","sequence":"additional","affiliation":[{"name":"Muskie School of Public Service, University of Southern Maine, Portland, ME, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"bibr1-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506575"},{"key":"bibr2-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.08.016"},{"key":"bibr3-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.19097"},{"key":"bibr4-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12503"},{"issue":"26","key":"bibr5-00333549231170198","first-page":"878","volume":"60","author":"Tepper NK","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr6-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.02.005"},{"key":"bibr7-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.02.017"},{"key":"bibr8-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.08.012"},{"key":"bibr9-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.05.006"},{"key":"bibr10-00333549231170198","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004381"},{"key":"bibr11-00333549231170198","unstructured":"Centers for Medicare & Medicaid Services. 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