Postpartum contraception: the New Mexico Pregnancy Risk Assessment Monitoring System
- PMID: 16307963
- DOI: 10.1016/j.contraception.2005.05.022
Postpartum contraception: the New Mexico Pregnancy Risk Assessment Monitoring System
Abstract
Objective: To examine factors associated with postpartum contraception, including the relationship between ethnicity and postpartum contraceptive use.
Methods: We used data from the New Mexico Pregnancy Risk Assessment Monitoring System, which monitors selected maternal events occurring before, during and after pregnancy.
Results: Our findings in 4096 women revealed that women who are aged >or=35 years, unmarried and lacking a postpartum visit have increased risk of no postpartum contraception. The odds of postpartum contraception were over three times greater in women with a postpartum visit [adjusted odds ratio (OR)=3.06, 95% confidence interval (CI): 2.17-4.31) and over 50% greater in married women (adjusted OR=1.57, 95% CI: 1.16-2.11). Hispanic women were more likely than were Native Americans to use postpartum contraception (OR=1.25, 95% CI: 0.95-1.64).
Conclusion: Focused contraception counseling, especially in the postpartum setting, is important to help ensure the well-being of women and children.
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