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However, little is known about women's experiences receiving their desired method at the first postpartum visit or how access is associated with use.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>In a 2014\u20132016 prospective cohort study of low\u2010income Texas women, data were collected from 685 individuals who desired a reversible contraceptive and discussed contraception with a provider at their first postpartum visit, usually within six weeks of birth. Women's experiences were captured using open\u2010 and closed\u2010ended survey questions. Thematic and multivariate logistic regression analyses were employed to examine contraceptive access and barriers, and method use at three months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Twenty\u2010three percent of women received their desired method at the first postpartum visit; 11% a prescription for their desired pill, patch or ring; 8% a method (or prescription) other than that desired; and 58% no method. Among women who did not receive their desired method, 44% reported clinic\u2010level barriers (e.g., method unavailability or no same\u2010day provision), 26% provider\u2010level barriers (e.g., inaccurate contraceptive counseling) and 23% cost barriers. Women who used private practices were more likely than those who used public clinics to report availability and cost barriers (odds ratios, 6.4 and 2.7, respectively). Forty\u2010one percent of women who did not receive their desired method, compared with 86% of those who did, were using that method at three months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Eliminating the various barriers that postpartum women face may improve their access to contraceptives. Further research is needed to improve the understanding of clinic\u2010 and provider\u2010level barriers.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12083","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T08:01:29Z","timestamp":1543824089000},"page":"189-198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Low\u2010Income Texas Women's Experiences Accessing Their Desired Contraceptive Method at the First Postpartum Visit"],"prefix":"10.1363","volume":"50","author":[{"given":"Kate","family":"Coleman\u2010Minahan","sequence":"first","affiliation":[{"name":"Assistant Professor, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe H.","family":"Dillaway","sequence":"additional","affiliation":[{"name":"Graduate Student at Johns Hopkins Bloomberg School of Public Health, 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