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TxPEP Study Identifies Unmet Demand for LARC Among Recent Mothers in TX

Mon, July 31, 2017
TxPEP Study Identifies Unmet Demand for LARC Among Recent Mothers in TX
New research published in Obstetrics & Gynecology.

A new TxPEP study published in Obstetrics & Gynecology identifies unmet demand for long-acting reversible contraception (LARC)—IUDs and implants, and permanent contraception—sterilization and vasectomy. The study assessed the types of contraception publicly insured women would prefer to use after delivery and found a much higher percentage of women prefer LARC and sterilization than the percentage of women who actually use these methods, suggesting health care system-level barriers to accessing preferred contraception. 

The research, based on interviews with 1,700 women who delivered healthy babies at eight Texas hospitals, was recently published online in Obstetrics & Gynecology.

“These results show that preference for IUDs, implants and female sterilization is high among public patients in Texas, but that these low-income women often have trouble accessing their preferred method of contraception after delivery,” said TxPEP lead investigator Joseph Potter.

Providing these methods in the hospital right after delivery is possible in Texas due to a Medicaid rule change that was instituted in January 2016, but the practice has not yet been widely adopted in the state. 

The study’s authors suggest that using state funds to expand postpartum coverage to include contraceptive services could help generate a considerable increase in use of highly effective contraception, which would in turn reduce the incidence of unintended pregnancy and induced abortion. 

Read the full press release here. To see the Obstetrics & Gynecology abstract page, click here. For a copy of the article PDF, please contact Laura Dixon at ldixon@prc.utexas.edu.

(Published 7-11-17)

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