Obstet Gynecol. 2016 Aug;128(2):422-423. doi: 10.1097/AOG.0000000000001583.
Immediate postpartum long-acting reversible contraception (LARC) has the potential to reduce unintended and short-interval pregnancy. Women should be counseled about all forms of postpartum contraception in a context that allows informed decision making. Immediate postpartum LARC should be offered as an effective option for postpartum contraception; there are few contraindications to postpartum intrauterine devices and implants. Obstetrician-gynecologists and other obstetric care providers should discuss LARC during the antepartum period and counsel all pregnant women about options for immediate postpartum initiation. Education and institutional protocols are needed to raise clinician awareness and to improve access to immediate postpartum LARC insertion. Obstetrician-gynecologists and other obstetric care providers should incorporate immediate postpartum LARC into their practices, counsel women appropriately about advantages and risks, and advocate for institutional and payment policy changes to support provision.
产后即时长效可逆避孕措施（LARC）有可能减少意外妊娠和短间隔妊娠。应在允许知情决策的背景下向妇女提供所有形式的产后避孕方法咨询。应将产后即时 LARC 作为产后避孕的有效选择提供；产后宫内节育器和植入物几乎没有禁忌症。妇产科医生和其他产科护理提供者应在产前期间讨论 LARC，并向所有孕妇提供关于产后即时启动的选择咨询。需要教育和机构方案来提高临床医生的认识，并改善获得产后即时 LARC 插入的机会。妇产科医生和其他产科护理提供者应将产后即时 LARC 纳入其常规实践，适当向妇女提供有关优势和风险的咨询，并倡导机构和支付政策的改变，以支持提供服务。
