Immediate Postpartum LARC Implementation: Pilot Study at Michigan Medicine
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pregnancy Related
- Sponsor
- University of Michigan
- Enrollment
- 592
- Locations
- 1
- Primary Endpoint
- Patient experience of care
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The objective of this study is to test and disseminate tools that drive successful immediate postpartum Long-Acting Reversible Contraception (LARC) implementation. The long-term goal is to reduce unintended pregnancy soon after childbirth by increasing access to immediate postpartum LARC for women who desire it.
Detailed Description
Based on previous work, the investigators have generated a toolkit to guide the integration of immediate postpartum LARC services into widespread clinical practice. In the proposed work, this toolkit will be used to initiate immediate postpartum LARC services in a single site with low baseline immediate postpartum LARC uptake (Michigan Medicine). The investigators will conduct a feasibility study using mixed methods to assess acceptability and appropriateness of toolkit items; patient experience of care; immediate postpartum LARC utilization rate; and prenatal contraceptive counseling rate.
Investigators
Michelle H. Moniz
Assistant Professor
University of Michigan
Eligibility Criteria
Inclusion Criteria
- •Female (patients)
- •Pregnant (patients)
- •Receiving obstetrical care at Michigan Medicine (patients)
- •L\&D provider at Michigan Medicine (providers)
Exclusion Criteria
- •non-English speaking
- •unable to provide informed consent
Outcomes
Primary Outcomes
Patient experience of care
Time Frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Patient online surveys about their experience of care during prenatal visits, hospital stay, or postpartum office visit
Acceptability of implementation process - study site maternity care providers
Time Frame: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Appropriateness of implementation process - study site maternity care providers
Time Frame: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Appropriateness of care process - patients
Time Frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
Acceptability of care process - patients
Time Frame: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
Secondary Outcomes
- Appropriateness of implementation toolkit items - patients(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Acceptability of implementation toolkit items - providers(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Acceptability of implementation toolkit items - patients(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Appropriateness of implementation toolkit items - providers(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Perinatal contraceptive counseling rate(Measured monthly, up to 24 months after toolkit implementation)
- Immediate postpartum LARC provision rate(Measured monthly, up to 24 months after toolkit implementation)