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

Contraception. 2023 Dec:128:110267. doi: 10.1016/j.contraception.2023.110267. Epub 2023 Aug 24.

Authors

Kathryn N Thomas¹, Tani Malhotra², David Ngendahimana³, Kelly S Gibson⁴, Kavita S Arora⁵

Affiliations

¹ Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, USA; Department of Obstetrics, Gynecology & Reproductive Sciences, UPMC Magee-Womens Hospital, Pittsburgh, PA, USA. Electronic address: thomaskn2@upmc.edu.
² Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, USA; Department of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
³ Office of Mental Health and Suicide Prevention, Veterans Health Administration, Menlo Park, CA, USA.
⁴ Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, USA.
⁵ Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, USA; Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

PMID: 37633590
PMCID: PMC10873085 (available on 2024-12-01)
DOI: 10.1016/j.contraception.2023.110267

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.

Keywords: Long-acting reversible contraception; Opioid use disorder; Postpartum contraception; Postpartum visit attendance; Unintended pregnancy.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Contraception / methods
Contraception Behavior
Contraceptive Agents*
Female
Humans
Opioid-Related Disorders*
Postpartum Period
Retrospective Studies

Substances

Contraceptive Agents

Abstract

Publication types

MeSH terms

Substances

Grants and funding