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Member Research and Reports

Member Research and Reports

South Carolina: Researchers Study Patients’ Experiences with the State’s Postpartum Contraception Medicaid Policy

Dr. Emily Mann, an assistant professor in the Department of Health Promotion, Education, and Behavior at the University of South Carolina Arnold School of Public Health, and associate director of women’s and gender studies in the university’s College of Arts and Sciences, has led a study examining patients’ experiences with the state of South Carolina’s immediate postpartum long-acting reversible contraception Medicaid policy. The team published their findings in the journal, Contraception.

With this study, Dr. Mann and her co-authors conducted 25 semi-structured interviews between 2016 and 2018. Participants were women ages 18-35 who gave birth within the past two years while insured by Medicaid and received contraceptive counseling about immediate postpartum long-acting reversible contraception during their pregnancies.

The researchers analyzed the data using inductive and deductive coding approaches, finding that 23 of the participants receiving counseling prenatal care and 16 of them receiving the counseling while in the hospital for childbirth. Some expressed dissatisfaction with the counseling because they did not receive enough information or felt like they were being pressured to utilize a long-acting reversible form of contraception. Some of the participants who received in-hospital counseling objected to the timing because they were in labor and/or already had a postpartum contraception plan. Further, three out of 10 participants who elected to receive immediate postpartum contraception later desired removal but encountered barriers.

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