Wilkinson Tracey A, Edmonds Brownsyne Tucker, Cheng Erika R
Department of Pediatrics, Indiana University School of Medicine, Children's Health Services Research, Indianapolis, IN, United States.
Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, United States.
Contraception. 2022 Jan;105:33-36. doi: 10.1016/j.contraception.2021.07.107. Epub 2021 Jul 28.
To examine outcomes of a 2-visit protocol for placement of intrauterine or subdermal contraception.
We identified all women ages 15 to 27 who received an order for an intrauterine or subdermal contraceptive between January 2014-December 2016. We examined time from order to contraceptive placement and reasons for incomplete orders.
We identified 1,192 unique patients who received 1,323 orders for intrauterine or subdermal contraceptives; 68% were completed at a second visit. The median time from order to placement was 22 days (interquartile range = 15-35). Of incomplete orders, 41% were related to logistics of a subsequent visit. Twenty-eight percent of patients had a subsequent pregnancy within the study period.
Efforts to provide same-day access for all contraceptive methods are needed.
研究宫内或皮下避孕放置的两次就诊方案的效果。
我们确定了2014年1月至2016年12月期间所有接受宫内或皮下避孕医嘱的15至27岁女性。我们研究了从医嘱到避孕放置的时间以及医嘱未完成的原因。
我们确定了1192名接受1323份宫内或皮下避孕医嘱的独特患者；68%在第二次就诊时完成。从医嘱到放置的中位时间为22天（四分位间距 = 15 - 35）。在未完成的医嘱中，4部分与后续就诊的后勤安排有关。28%的患者在研究期间随后怀孕。
需要努力为所有避孕方法提供当日服务。
