501 - Long-Acting Reversible Contraction in the Inpatient Setting

Poster Number: 501
Publication Number: 501.100

Jenny Francis, University of Texas Southwestern Medical School, Dallas, TX, United States; Jackson M. Francis, The University of Texas Health Science Center School of Public Health, Grand Prairie, TX, United States; Katelyn K. Jetelina, UTHealth, Dallas, TX, United States; Susan Rosenthal, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States; Jasmin A. Tiro, UT Southwestern Medical Center, Dallas, TX, United States

Background: Long-acting reversible contraception (LARC), or the intrauterine device (IUD) and the contraceptive implant (henceforth implant), are first line options for adolescent pregnancy prevention. Most hospitals require patients to be postpartum to offer LARC procedures to hospitalized patients. Little is known about the hospitals that offer LARC to adolescents.

Objective: Describe which hospitals across the nation offer LARC procedures to adolescents during an inpatient stay.

Design/Methods: An invitation to an online, national survey, went out to members of medical societies (Society of Adolescent Health and Medicine, North American Society of Pediatric and Adolescent Gynecology) and to the Pediatric Research for Inpatient Setting network. Direct invitations were also sent to fellowship program directors and respective division directors of adolescent medicine, pediatric and adolescent gynecology and pediatric hospital medicine programs to share with their faculty. The 8-12-minute survey collected demographic (age, ethnicity, race and gender) and profession (type of provider, location of hospital) information. The main outcome assessed two questions: “are intrauterine devices [contraceptive implants] currently being placed during a hospital stay for adolescents?” with yes/no/not sure as response options. Descriptive analyses were performed.

Results: Of the 615 survey respondents, most were female (79%), non-Hispanic (93%), white 74%, with a median age of 38-years (range 28 - 70 years). Overall, most were pediatric hospitalist (64%), adolescent medicine (13%) or pediatric adolescent gynecologist (10%), with all 50 states represented from the sample. Overall, among this sample, during an inpatient stay, 12% (n = 77) report that IUDs are currently being placed during a hospital stay for adolescents across 21 states, and 18% (n = 119) are currently placing implants during a hospital stay for adolescents across 28 states. Conclusion(s): LARCs are being offered to adolescents during the inpatient setting in some pediatric hospital settings across some of the country. These hospital settings should be evaluated to determine the processes for practical implementation and operation of a bedside procedure.
Acknowledgements: This study was funded by Organon’s Investigator Imitated Study #60445 and the National Institutes of Health K23 HD097291.