Postpartum contraception: the New Mexico Pregnancy Risk Assessment Monitoring System.
OBJECTIVE
To examine factors associated with postpartum contraception, including the relationship between ethnicity and postpartum contraceptive use.


METHODS
We used data from the New Mexico Pregnancy Risk Assessment Monitoring System, which monitors selected maternal events occurring before, during and after pregnancy.


RESULTS
Our findings in 4096 women revealed that women who are aged >or=35 years, unmarried and lacking a postpartum visit have increased risk of no postpartum contraception. The odds of postpartum contraception were over three times greater in women with a postpartum visit [adjusted odds ratio (OR)=3.06, 95% confidence interval (CI): 2.17-4.31) and over 50% greater in married women (adjusted OR=1.57, 95% CI: 1.16-2.11). Hispanic women were more likely than were Native Americans to use postpartum contraception (OR=1.25, 95% CI: 0.95-1.64).


CONCLUSIONS
Focused contraception counseling, especially in the postpartum setting, is important to help ensure the well-being of women and children.
Depiñeres
Teresa
T
Department of Obstetrics and Gynecology, University of California, San Francisco, USA. tdepineres@psg.ucsf.edu
Blumenthal
Paul D
PD
Diener-West
Marie
M
D000293:Adolescent; D000328:Adult; D003267:Contraception; D003376:Counseling; D004522:Educational Status; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007198:Indians, North American; D017533:Marital Status; D009516:New Mexico; D016017:Odds Ratio; D049590:Postpartum Period; D011247:Pregnancy; D018570:Risk Assessment; D044465:White People