Postpartum contraceptive choice and fulfillment in patients with opioid use disorder

Kathryn N. Thomas; Tani Malhotra; David Ngendahimana; Kelly S. Gibson; Kavita S. Arora

doi:10.1016/j.contraception.2023.110267

Postpartum contraceptive choice and fulfillment in patients with opioid use disorder

Kathryn N. Thomas, Tani Malhotra, David Ngendahimana, Kelly S. Gibson, Kavita S. Arora

Division of Family Planning

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD). Study Design: We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment. Results: Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60–1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53–1.12) of desired method were comparable between groups. Conclusion: Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.

Original language	English
Article number	110267
Journal	Contraception
Volume	128
DOIs	https://doi.org/10.1016/j.contraception.2023.110267
State	Published - Dec 1 2023

Keywords

Long-acting reversible contraception
Opioid use disorder
Postpartum contraception
Postpartum visit attendance
Unintended pregnancy

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10.1016/j.contraception.2023.110267

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title = "Postpartum contraceptive choice and fulfillment in patients with opioid use disorder",

abstract = "Objective: We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD). Study Design: We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment. Results: Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60–1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53–1.12) of desired method were comparable between groups. Conclusion: Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.",

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N2 - Objective: We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD). Study Design: We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment. Results: Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60–1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53–1.12) of desired method were comparable between groups. Conclusion: Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.

AB - Objective: We examined the differences in postpartum contraception between patients with and without opioid use disorder (OUD). Study Design: We conducted a retrospective, single-institution, cohort analysis assessing differences in desired method of postpartum contraception and plan fulfillment. Results: Patients with OUD comprised 200/8654 (2.3%) of our study cohort. After 2:1 matching, method desired (matched odds ratio [mOR] 0.86, 95% confidence interval [CI] 0.60–1.23 for highly vs. moderately effective) and receipt (mOR 0.77, 95% CI 0.53–1.12) of desired method were comparable between groups. Conclusion: Patients with and without OUD were similar in their choice and fulfillment of postpartum contraception.

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Postpartum contraceptive choice and fulfillment in patients with opioid use disorder

Abstract

Keywords

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