PowerPoint template for a scientific ... - University of Alabama

PowerPoint template for a scientific ... - University of Alabama

A RETROSPECTIVE CHART REVIEW: LONG-ACTING REVERSIBLE
CONTRACEPTION UTILIZATION AT UNIVERSITY MEDICAL CENTER
Cheree Melton, D.O., Ashley Wambolt, M.D., Amy Wambolt, M.D.
Kristine Graettinger, M.D.
The University of Alabama
INTRODUCTION

METHODS

FUTURE DIRECTIONS

There are many factors women consider
when choosing a method of contraception
including effectiveness, access,
convenience, and side effects.

A retrospective chart review of female patients seen at the UMC from
2011 to 2016 will be conducted to examine:

We hope to identify barriers to LARC
utilization within the community.
Develop educational tools and strategies
to increase patient awareness of the
benefits of LARC use.
We hope to improve resident education
regarding patient contraception decisionmaking.

Regardless of how they prioritize their
decision, women ultimately want to be
satisfied with the selection they make.
Studies have shown that long-acting
reversible contraception (LARC) has the
highest satisfaction and continuation rates
among the various methods of
contraception.

Demographics
Payer source
Type of IUD: copper IUD, levonorgestrel-releasing intrauterine
system, or contraceptive implant
Utilization of LARC services by specific clinic
Patient medical history, including number of pregnancies and
number of live births
Indications for LARC placement, removal, and associated
complications
Interval from LARC insertion to removal with reason for
discontinuation

In 2010, 55% of pregnancies in Alabama
were unintended.
Alabamas unintended pregnancy rate in
2010 was 48 per 1,000 women aged 1544.
Nationally, rates among states for
unintended pregnancy rate in 2010 ranged
from 32 to 62 per 1,000.
Misconceptions and lack of education are
key barriers to LARC use.

REFERENCES
PURPOSE

The purpose of this research is to measure
long-acting reversible contraception (LARC)
utilization among women ages 19 or above
at University Medical Center (UMC) from
2011-2016.

Barriers and Facilitators to Adolescents' Use of Long-Acting
Reversible Contraceptives. Pritt NM, Norris AH, Berlan ED. J
Pediatr Adolesc Gynecol. 2017 Feb;30(1):18-22. doi:
10.1016/j.jpag.2016.07.002. Epub 2016 Jul 28. PMID 27477904.
IUD knowledge and experience among family medicine residents.
Schubert FD, Herbitter C Fletcher J., Gold M. Fam Med. 2015
Jun;47(6):474-7. PMID 26039766.
Kost K, Unintended Pregnancy Rates at the State Level:
Estimates for 2010 and Trends Since 2002, New York:
Guttmacher Institute, 2015, https://www.guttmacher.org/
report/unintended-pregnancy-rates-state-level-estimates-2010and-trends-2002.
Trends in long-acting reversible contraception use among U.S.
women aged 15-44. Branum AM, Jones J. NCHS Data Brief. 2015
Feb;(188):1-8. PMID 25714042.

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