Women's Use of Long-Acting Reversible Contraception for Birth Timing and Birth Stopping

Dados Bibliográficos

ID10971007
AutoresMieke Cw Eeckhaut (0000-0001-9132-0883, University of Delaware, autor correspondente), M S Rendall (0000-0001-8541-1033, Department of Sociology and Maryland Population Research Center, University of Maryland, College Park, MD, USA), Polina Zvavitch (0000-0002-6078-4420, Department of Sociology and Maryland Population Research Center, University of Maryland, College Park, MD, USA)
Ano2021
Volume58
Fascículo4
Páginas1327-1346
Data de publicação2021-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoDemography (JOURNAL)
Identificadores do periódicoISSN: 0070-3370 • E-ISSN: 1533-7790
EditoraDuke University Press (PUBLISHER • US)
DOI10.1215/00703370-9386084
PMID34251428
OpenAlexW3177500758
IdiomaEN
Citações recebidas8
Referências citadas63

The use of long-acting reversible contraceptive (LARC) methods—intrauterine devices (IUDs) and implants—has recently expanded rapidly in the United States, and these methods together approach the contraceptive pill in current prevalence. Research on LARCs has analyzed their use to reduce unintended pregnancies but not their use to enable intended pregnancies. Knowledge of both is necessary to understand LARCs’ potential impacts on the reproductive life courses of U.S. women. We combine data from two nationally representative surveys to estimate women's likelihood and timing of subsequent reproductive events, including births resulting from an intended pregnancy up to nine years after discontinuing LARC use. We estimate that 62% of women will give birth, and 45% will give birth from an intended pregnancy. Additionally, 18% will have a new LARC inserted, and 13% will transition to sterilization. Most of these reproductive events occur within two years after discontinuing LARC use. Births from an intended pregnancy are especially common when no intervening switch to another contraceptive method occurs. We infer that women's motives for using LARC are varied but include the desire to postpone a birth, to postpone a decision about whether to have a(nother) birth, and to transition definitively to the completion of childbearing

Birth control · Environmental health · Family planning · Gynecology · Long-acting reversible contraception · Obstetrics · Pill · Population · Pregnancy · Research methodology · Sterilization (economics · Unintended pregnancy · Demography · Maternal and Perinatal Health Interventions · Medicine · Nursing · Reproductive Health and Contraception · Reproductive Health and Technologies