Citation
Arora, Kavita S.; Chua, Arzice; Miller, Emily; Boozer, Margaret; Serna, Tania; Bullington, Brooke W.; White, Kari; Gunzler, Douglas D.; Bailit, Jennifer L.; & Berg, Kristen (2023). Medicaid and Fulfillment of Postpartum Permanent Contraception Requests. Obstetrics & Gynecology, 141(5), 918-925. PMCID: PMC10154035Abstract
OBJECTIVE: To evaluate the association between Medicaid insurance and fulfillment of postpartum permanent contraception requests.METHODS: We conducted a retrospective cohort study of 43,915 patients across four study sites in four states, of whom 3,013 (7.1%) had a documented contraceptive plan of permanent contraception at the time of postpartum discharge and either Medicaid insurance or private insurance. Our primary outcome was permanent contraception fulfillment before hospital discharge; we compared individuals with private insurance with individuals with Medicaid insurance. Secondary outcomes were permanent contraception fulfillment within 42 and 365 days of delivery, as well as the rate of subsequent pregnancy after nonfulfillment. Bivariable and multivariable logistic regression analyses were used.
RESULTS: Patients with Medicaid insurance (1,096/2,076, 52.8%), compared with those with private insurance (663/937, 70.8%), were less likely to receive desired permanent contraception before hospital discharge (P
URL
http://dx.doi.org/10.1097/aog.0000000000005130Reference Type
Journal ArticleYear Published
2023Journal Title
Obstetrics & GynecologyAuthor(s)
Arora, Kavita S.Chua, Arzice
Miller, Emily
Boozer, Margaret
Serna, Tania
Bullington, Brooke W.
White, Kari
Gunzler, Douglas D.
Bailit, Jennifer L.
Berg, Kristen
Article Type
RegularPMCID
PMC10154035Continent/Country
United States of AmericaState
NonspecificRace/Ethnicity
BlackWhite
Asian
Hispanic