Barriers to Immediate Post-placental Intrauterine Devices among Attending Level Educators

Erica Holland, L. Daniela Michelis, Sarita Sonalkar, Christine Curry

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To determine whether barriers to immediate post-placental intrauterine device (PPIUD) placement exist at the provider level. Study Design: Obstetrics providers at seven academic teaching hospitals in Massachusetts were asked to complete an electronic survey regarding their knowledge, experience, and opinions about immediate PPIUDs. Results: Eighty-two providers, including obstetricians, family medicine physicians, and midwives, completed the survey. Thirty-five (42.7%) reported experience placing an immediate PPIUD with the majority of them having placed three to five PPIUDs. Of participants who had never placed a PPIUD, the reason cited most frequently was inadequate training. Fewer than one-half (43.4%) correctly identified the PPIUD expulsion rate, whereas 75.9% knew the correct expulsion rate for interval IUD placement. The majority of providers responded that PPIUDs are acceptable in certain clinical scenarios. Conclusions: Overall, knowledge and experience with PPIUD placement is relatively low. As increasing numbers of states amend Medicaid policy to include reimbursement for immediate postpartum IUDs, additional education and training opportunities are needed.

Original languageEnglish (US)
Pages (from-to)355-358
Number of pages4
JournalWomen's Health Issues
Volume25
Issue number4
DOIs
StatePublished - Jul 1 2015

Fingerprint

Intrauterine Devices
expulsion
educator
Intrauterine Device Expulsion
training opportunities
experience
midwife
obstetrics
Family Physicians
Medicaid
Midwifery
physician
Teaching Hospitals
medicine
electronics
Postpartum Period
scenario
Obstetrics
Medicine
Teaching

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery
  • Health(social science)

Cite this

Barriers to Immediate Post-placental Intrauterine Devices among Attending Level Educators. / Holland, Erica; Michelis, L. Daniela; Sonalkar, Sarita; Curry, Christine.

In: Women's Health Issues, Vol. 25, No. 4, 01.07.2015, p. 355-358.

Research output: Contribution to journalArticle

Holland, Erica ; Michelis, L. Daniela ; Sonalkar, Sarita ; Curry, Christine. / Barriers to Immediate Post-placental Intrauterine Devices among Attending Level Educators. In: Women's Health Issues. 2015 ; Vol. 25, No. 4. pp. 355-358.
@article{e83d1207b5a0468587a4a5ca86de1378,
title = "Barriers to Immediate Post-placental Intrauterine Devices among Attending Level Educators",
abstract = "Objective: To determine whether barriers to immediate post-placental intrauterine device (PPIUD) placement exist at the provider level. Study Design: Obstetrics providers at seven academic teaching hospitals in Massachusetts were asked to complete an electronic survey regarding their knowledge, experience, and opinions about immediate PPIUDs. Results: Eighty-two providers, including obstetricians, family medicine physicians, and midwives, completed the survey. Thirty-five (42.7{\%}) reported experience placing an immediate PPIUD with the majority of them having placed three to five PPIUDs. Of participants who had never placed a PPIUD, the reason cited most frequently was inadequate training. Fewer than one-half (43.4{\%}) correctly identified the PPIUD expulsion rate, whereas 75.9{\%} knew the correct expulsion rate for interval IUD placement. The majority of providers responded that PPIUDs are acceptable in certain clinical scenarios. Conclusions: Overall, knowledge and experience with PPIUD placement is relatively low. As increasing numbers of states amend Medicaid policy to include reimbursement for immediate postpartum IUDs, additional education and training opportunities are needed.",
author = "Erica Holland and Michelis, {L. Daniela} and Sarita Sonalkar and Christine Curry",
year = "2015",
month = "7",
day = "1",
doi = "10.1016/j.whi.2015.03.013",
language = "English (US)",
volume = "25",
pages = "355--358",
journal = "Women's Health Issues",
issn = "1049-3867",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Barriers to Immediate Post-placental Intrauterine Devices among Attending Level Educators

AU - Holland, Erica

AU - Michelis, L. Daniela

AU - Sonalkar, Sarita

AU - Curry, Christine

PY - 2015/7/1

Y1 - 2015/7/1

N2 - Objective: To determine whether barriers to immediate post-placental intrauterine device (PPIUD) placement exist at the provider level. Study Design: Obstetrics providers at seven academic teaching hospitals in Massachusetts were asked to complete an electronic survey regarding their knowledge, experience, and opinions about immediate PPIUDs. Results: Eighty-two providers, including obstetricians, family medicine physicians, and midwives, completed the survey. Thirty-five (42.7%) reported experience placing an immediate PPIUD with the majority of them having placed three to five PPIUDs. Of participants who had never placed a PPIUD, the reason cited most frequently was inadequate training. Fewer than one-half (43.4%) correctly identified the PPIUD expulsion rate, whereas 75.9% knew the correct expulsion rate for interval IUD placement. The majority of providers responded that PPIUDs are acceptable in certain clinical scenarios. Conclusions: Overall, knowledge and experience with PPIUD placement is relatively low. As increasing numbers of states amend Medicaid policy to include reimbursement for immediate postpartum IUDs, additional education and training opportunities are needed.

AB - Objective: To determine whether barriers to immediate post-placental intrauterine device (PPIUD) placement exist at the provider level. Study Design: Obstetrics providers at seven academic teaching hospitals in Massachusetts were asked to complete an electronic survey regarding their knowledge, experience, and opinions about immediate PPIUDs. Results: Eighty-two providers, including obstetricians, family medicine physicians, and midwives, completed the survey. Thirty-five (42.7%) reported experience placing an immediate PPIUD with the majority of them having placed three to five PPIUDs. Of participants who had never placed a PPIUD, the reason cited most frequently was inadequate training. Fewer than one-half (43.4%) correctly identified the PPIUD expulsion rate, whereas 75.9% knew the correct expulsion rate for interval IUD placement. The majority of providers responded that PPIUDs are acceptable in certain clinical scenarios. Conclusions: Overall, knowledge and experience with PPIUD placement is relatively low. As increasing numbers of states amend Medicaid policy to include reimbursement for immediate postpartum IUDs, additional education and training opportunities are needed.

UR - http://www.scopus.com/inward/record.url?scp=84937516170&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937516170&partnerID=8YFLogxK

U2 - 10.1016/j.whi.2015.03.013

DO - 10.1016/j.whi.2015.03.013

M3 - Article

C2 - 26048758

AN - SCOPUS:84937516170

VL - 25

SP - 355

EP - 358

JO - Women's Health Issues

JF - Women's Health Issues

SN - 1049-3867

IS - 4

ER -