LARC Continuation and Satisfaction

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by AlyssaGivens
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LARC Continuation and Satisfaction

73% (n= 8) continued method (see figure 1) of choice and stated “very satisfied”.27% (n= 3) reported discontinuation of the LARC 8% (n = 2) women declined completely to answer, with no reason stated. 21% (n =5) women were left messages with no callback 25% (n=6) have no working numbers on file with the clinic.Age groups were defined as follows (see figure 2): 50% (n= 12) patients were between the ages of 19-24, 33% (n=8) were aged 25-30 , 0% between age 31-35, 17% (n=4) patients age 36-40 Out of the 24 patients, 96% (n=23) were AN/AI with 4% (n=1) identified as “other.” Furthermore, the demographics were split 50-50 between rural and urban populations centers.63% (n=15) of the women surveyed, received a sub-dermal implant, and followed by 33% (n=8) with the LNG-IUS and the remaining 4% (n=1) the Cu-IUD.

1. Rosenstock, J. R., Peipert, J. F., Madden, T., Zhao, Q., & Secura, G. M. (2012). Continuation of reversible contraception in teenagers and young women. Obstetrics and Gynecology, 120(6), 1298-1305. doi:http://10.1097/AOG.0b013e31827499bd [doi]2. Finer, L. B., Jerman, J., & Kavanaugh, M. L. (2012). Changes in use of long-acting contraceptive methods in the united states, 2007-2009. Fertility and Sterility, 98(4), 893-897. doi:10.1016/j.fertnstert.2012.06.027 [doi]3. Flamant, A., Ouldamer, L., Body, G., & Trignol-Viguier, N. (2013). Rates of continuation and satisfaction of immediate intrauterine device insertion following first- or second-trimester surgical abortion: A french prospective cohort study. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 169(2), 268-274. doi:10.1016/j.ejogrb.2013.04.006 [doi]4. Towne, S. D.,Jr, Smith, M. L., & Ory, M. G. (2014). Geographic variations in access and utilization of cancer screening services: Examining disparities among american indian and alaska native elders. International Journal of Health Geographics, 13, 18-072X-13-18. doi:10.1186/1476-072X-13-18 [doi]5. Family Planning- Overview. (n.d.). Retrieved December 12, 2014, from Allsworth, J. E., Secura, G. M., Zhao, Q., Madden, T., & Peipert, J. F. (2013). The impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation. American Journal of Public Health, 103(10), 1857-1864. doi:10.2105/AJPH.2013.301371 [doi]7. Rutman, S., Taualii, M., Ned, D., & Tetrick, C. (2012). Reproductive health and sexual violence among urban american indian and alaska native young women: Select findings from the national survey of family growth (2002). Maternal and Child Health Journal, 16 Suppl 2, 347-352. doi:10.1007/s10995-012-1100-1 [doi]8. Long-acting reversible contraception: implants and intrauterine devices. Practice Bulletin No. 121. American College of Obstetricians and Gynecologists. Obstet Gynecol 2011;118:184–96.9. Werth, S. R., Secura, G. M., Broughton, H. O., Jones, M. E., Dickey, V., & Peipert, J. F. (2014). Contraceptive continuation in hispanic women. American Journal of Obstetrics and Gynecology, doi:S0002-9378(14)00922-3 [pii]10. Nola Pender: Health Promotion Model. (n.d.). Retrieved December 10, 2014, from

Continuations and Satisfaction of Post Placental Long-Acting Reversible Contraception in the Alaskan Native/American Indian Population

Alyssa Givens, BSN, RNThomas Jefferson University

Intro & Background

Program Plan & Evaluation

Discussion/ Findings




Post-placental LARC placement is highly encouraged and recommended in the AN/AI populations. Surveys found the majority of women were happy with their LARCS and continued with treatment.Providers and nurses should educate patients on pros and cons of each method available so that they can make an informed decision.

Chart reviews completed and survey conducted of women who received a LARC prior to discharge from hospital after birth of child, determining continuation and satisfaction with chosen LARC 12 months after placement.Data collected from study supports the initiation of LARC placement post placental as a reliable procedure for women wanting to defer pregnancy.Plan presented promotes the placement of LARC post placental as the first choice of birth control after delivery.Provider discusses the benefits and risks of LARC as well as the success rates . Provider to give continued education of methods throughout prenatal care.

50% of those unintended pregnancies utilized a form of birth control unsuccessfully.Most effective birth control option is the interuterine device (IUD) or the subdermal implant. LARC provides immiedate protection from pregnancy.Many Alaska Native (AN)/ American Indian (AI) women live in remote areas where access to reliable healthcare is hard to find.

Almost half of all pregnancies are unplanned in the U.S.


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