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 L.
N1 - Publisher Copyright:
© 2015 Jacobs Institute of Women's Health.
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.
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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 -