Contraception


A Scoping Review of Patient-Centered Perinatal Contraceptive Counseling.

Karlin J, Newmark RL, Oberman N, Dehlendorf C.Matern Child Health J. 2024 Sep;28(9):1454-1484. doi: 10.1007/s10995-024-03946-y. Epub 2024 Aug 1.PMID: 39088140 Free PMC article. Review.

INTRODUCTION: Contraceptive counseling during the perinatal period is an important component of comprehensive perinatal care. ...Of the included articles, 10 included implementation and evaluation of a contraceptive counseling method or protocol, and 24 evaluated pr …


Comparison of a person-centered pregnancy prevention question and One Key Question to assess postpartum contraceptive needs.

Congdon JL, Vittinghoff E, Dehlendorf C.Contraception. 2024 Jul;135:110465. doi: 10.1016/j.contraception.2024.110465. Epub 2024 Apr 16.PMID: 38636583 Free article.

OBJECTIVES: To explore the relevance of pregnancy intention as a screen for contraceptive needs among postpartum individuals. STUDY DESIGN: We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year and current desire to pr …


A Decision Aid to Support Tubal Sterilization Decision-Making Among Pregnant Women: The MyDecision/MiDecisión Randomized Clinical Trial.

Borrero S, Mosley EA, Wu M, Dehlendorf C, Wright C, Abebe KZ, Zite N.JAMA Netw Open. 2024 Mar 4;7(3):e242215. doi: 10.1001/jamanetworkopen.2024.2215.PMID: 38502127 Free PMC article. Clinical Trial.

The aid includes written, audio, and video information about tubal sterilization procedures; an interactive table comparing contraceptive options; values-clarifying exercises; knowledge checks; and a summary report. ...These results are particularly important given the rec …


Meeting people's pregnancy prevention needs: Let's not force people to state an "Intention".

Dehlendorf C, Perry JC, Borrero S, Callegari L, Fuentes L, Perritt J.Contraception. 2024 Jul;135:110400. doi: 10.1016/j.contraception.2024.110400. Epub 2024 Feb 17.PMID: 38369272

Pregnancy intention screening does not identify need for pregnancy prevention and ignores the nuances of lived experiences while reinforcing white middle-class normative expectations. Asking about desire for contraception is a patient-centered approach to meeting people's …


Conceptualizing Contraceptive Agency: A Critical Step to Enable Human Rights-Based Family Planning Programs and Measurement.

Holt K, Challa S, Alitubeera P, Atuyambe L, Dehlendorf C, Galavotti C, Idiodi I, Jegede A, Omoluabi E, Waiswa P, Upadhyay U.Glob Health Sci Pract. 2024 Feb 28;12(1):e2300299. doi: 10.9745/GHSP-D-23-00299. Print 2024 Feb 28.PMID: 38346841 Free PMC article.

We propose a detailed framework for contraceptive agency to serve as a rights-based guide for centering individuals' ability to make and act on their own contraceptive choices, regardless of what those choices are, in program design and evaluation. ...The contrac …

Estimates of use of preferred contraceptive method in the United States: a population-based study.

Gomez AM, Bennett AH, Arcara J, Stern L, Bardwell J, Cadena D, Chaudhri A, Davis L, Dehlendorf C, Frederiksen B, Labiran C, McDonald-Mosley R, Rice WS, Stein TB, Valladares ES, Kavanaugh ML, Marshall C.Lancet Reg Health Am. 2024 Jan 19;30:100662. doi: 10.1016/j.lana.2023.100662. eCollection 2024 Feb.PMID: 38304390 Free PMC article.

BACKGROUND: In the U.S. and globally, dominant metrics of contraceptive access focus on the use of certain contraceptive methods and do not address self-defined need for contraception; therefore, these metrics fail to attend to person-centeredness, a key comp …


Contraceptive counseling, method satisfaction, and planned method continuation among women in the U.S. southeast.

Hale N, Dehlendorf C, Smith MG, Stapleton J, McCartt P, Khoury AJ.Contraception. 2024 Apr;132:110365. doi: 10.1016/j.contraception.2024.110365. Epub 2024 Jan 11.PMID: 38215919

STUDY DESIGN: We used data from the Statewide Survey of Women, a probability-based sample of reproductive-aged women in Alabama and South Carolina in 2017/18. We included women using a contraceptive method and reporting a contraceptive visit in the past year (n = 12 …

Lack of pregnancy intention or interest in pregnancy prevention now? How best to screen for desire for contraceptive care.

Wingo E, Dehlendorf C.Contraception. 2023 Oct 6:110303. doi: 10.1016/j.contraception.2023.110303. Online ahead of print.PMID: 37806473 Free article.

IMPLICATIONS: A pregnancy prevention-focused screening approach may be better suited to identify those in need of contraceptive services compared to pregnancy intention screening....

Development of My Decision/Mi Decisión, a web-based decision aid to support permanent contraception decision making.

Mosley EA, Zite N, Dehlendorf C, Deal A, O'Leary R, Achilles S, Barnato AE, Hall D, Borrero S.PEC Innov. 2023 Aug 29;3:100203. doi: 10.1016/j.pecinn.2023.100203. eCollection 2023 Dec 15.PMID: 37693728 Free PMC article.

RESULTS: The resulting web-based My Decision/Mi Decision tool (English/Spanish) includes written and video information about tubal sterilization procedures; an interactive table of contraception options; values clarification exercises; reflection and deliberation; knowledg …


The status of person-centered contraceptive care in the United States: Results from a nationally representative sample.

Wingo E, Sarnaik S, Michel M, Hessler D, Frederiksen B, Kavanaugh ML, Dehlendorf C.Perspect Sex Reprod Health. 2023 Sep;55(3):129-139. doi: 10.1363/psrh.12245. Epub 2023 Sep 1.PMID: 37654244

CONTEXT: The Person-Centered Contraceptive Care measure (PCCC) evaluates patient experience of contraceptive counseling, a construct not represented within United States surveillance metrics of contraceptive care. ...Differences in reported quality of care ha …


A decision support tool has similar high PrEP uptake and increases early PrEP persistence in adolescent girls and young women in South Africa: results from a randomized controlled trial.

Celum C, Seidman D, Travill D, Dehlendorf C, Gumede S, Zewdie K, Wilson W, Morton JF, Baeten JM, Donnell D, Delany-Moretlwe S.J Int AIDS Soc. 2023 Aug;26(8):e26154. doi: 10.1002/jia2.26154.PMID: 37634942 Free PMC article. Clinical Trial.

INTRODUCTION: African adolescent girls and young women (AGYW) have high rates of HIV acquisition and are a priority population for HIV pre-exposure prophylaxis (PrEP). PrEP implementation has been limited by AGYW's low perceived HIV risk and provider demands. A decision su …


Postpartum Family Planning in Pediatrics: A Survey of Parental Contraceptive Needs and Health Services Preferences.

Congdon JL, Bardach NS, Franck LS, Brindis CD, Boscardin WJ, Carrasco Z, Cabana MD, Dehlendorf C.Acad Pediatr. 2023 Sep-Oct;23(7):1417-1425. doi: 10.1016/j.acap.2023.03.009. Epub 2023 Mar 22.PMID: 36958531 Free article.

We examined unmet contraceptive needs; the acceptability of contraceptive education, counseling, and provision at well-child visits; and sociodemographic and clinical correlates. ...Most participants deemed the following acceptable in the pediatric clinic: receiving …


Prioritizing patient experience: Validation of the person-centered contraceptive counseling measure as a performance measure.

Dehlendorf C, Vittinghoff E, Silverstein I, Fox E, Logan R, Reed R, Jones E, Jones DH.Contraception. 2023 Jul;123:110010. doi: 10.1016/j.contraception.2023.110010. Epub 2023 Mar 17.PMID: 36934954 Free article.

OBJECTIVE: A performance measure assessing how often patients experience patient-centered contraceptive counseling can inform quality improvement in contraceptive care and enable efforts to enhance equity in the provision of this care. ...IMPLICATIONS: The PCCC meas …


Pregnancy Conceptualizations in Women Who Have Had Recent Bariatric Surgery.

Mengesha B, Steinauer J, Carter J, Rodriguez A, Dehlendorf C.J Womens Health (Larchmt). 2023 Apr;32(4):478-485. doi: 10.1089/jwh.2022.0319. Epub 2023 Feb 14.PMID: 36787471

Of those with a postoperative pregnancy, 46% (n = 17) felt it was important to avoid pregnancy compared with 81% (n = 266) of those who did not have a pregnancy (p < 0.001). Most used postoperative contraception (66%, n = 241), and those who felt it was important to avo


Consent for trainee participation in abortion care: A qualitative study of patient experiences and preferences in the United States.

Crystal-Ornelas L, Sarnaik S, Dianat S, Dehlendorf C, Holt K.Contraception. 2023 May;121:109974. doi: 10.1016/j.contraception.2023.109974. Epub 2023 Feb 8.PMID: 36758737 Free article.

Given the complex sociopolitical context of abortion, consent to allow a trainee's involvement in abortion care requires careful attention to avoid harm to patients while also ensuring adequate clinician training for the future provision of care. ...

Elevating the patient voice in contraceptive care quality improvement: A qualitative study of patient preferences for peripartum contraceptive care.

Minns A, Dehlendorf C, Peahl AF, Heisler M, Owens LE, van Kainen B, Bonawitz K, Moniz MH.Contraception. 2023 May;121:109960. doi: 10.1016/j.contraception.2023.109960. Epub 2023 Feb 2.PMID: 36736716

We conducted individual, in-depth, semistructured interviews to assess patients' preferences for peripartum contraceptive care. Using inductive and deductive qualitative content analysis, we evaluated interview data for patient preferences for peripartum contraceptive …

Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial.

Callegari LS, Benson SK, Mahorter SS, Nelson KM, Arterburn DE, Hamilton AB, Taylor L, Hunter-Merrill R, Gawron LM, Dehlendorf C, Borrero S.Contemp Clin Trials. 2022 Nov;122:106940. doi: 10.1016/j.cct.2022.106940. Epub 2022 Sep 28.PMID: 36179982

The primary outcome is occurrence of reproductive health discussions involving shared decision making; secondary outcomes include measures of communication, knowledge, decision conflict, contraceptive utilization, and receipt of services related to prepregnancy health. ...

Meeting the Needs of Postpartum Women: Provider Perspectives on Maternal Contraceptive Care in Pediatric Settings.

Trope LA, Congdon JL, Bruce JS, Chung PJ, Dehlendorf C, Chamberlain LJ.Acad Pediatr. 2023 May-Jun;23(4):821-828. doi: 10.1016/j.acap.2022.08.013. Epub 2022 Sep 5.PMID: 36067921

RESULTS: Pediatric providers were generally open to incorporating postpartum family planning screening and counseling into a pediatric encounter, if given appropriate training and implementation support. Providers largely agreed that contraceptive provision to women was no …


Exploring the impact of mifepristone's risk evaluation and mitigation strategy (REMS) on the integration of medication abortion into US family medicine primary care clinics✰,✰✰.

Razon N, Wulf S, Perez C, McNeil S, Maldonado L, Fields AB, Carvajal D, Logan R, Dehlendorf C.Contraception. 2022 May;109:19-24. doi: 10.1016/j.contraception.2022.01.017. Epub 2022 Feb 4.PMID: 35131289 Free PMC article.

CONCLUSION: Removing the REMS could simplify integration of medication abortion into primary care, which could meet patient preferences, improve access, and reduce abortion stigma. The FDA's revised REMS criteria may ease administrative burden but will likely maintain key …


Use of a contraceptive decision support tool in the abortion care setting.

Lerma K, McBrayer A, Nathan S, Dehlendorf C, White K.Contraception. 2022 Sep;113:68-70. doi: 10.1016/j.contraception.2022.01.011. Epub 2022 Jan 23.PMID: 35081390

OBJECTIVE: To evaluate the use of a contraceptive decision support tool in the abortion care setting. STUDY DESIGN: In 2019, Mississippi residents aged 18 to 45 used a tablet-based decision support tool at the consultation visit and completed a survey about their satisfact …

Feasibility and acceptability of a toolkit-based process to implement patient-centered, immediate postpartum long-acting reversible contraception services.

Moniz MH, Dalton VK, Smith RD, Owens LE, Landis-Lewis Z, Peahl AF, Van Kainen B, Punch MR, Wetmore MK, Bonawitz K, Kolenic GE, Dehlendorf C, Heisler M.Am J Obstet Gynecol. 2022 Mar;226(3):394.e1-394.e16. doi: 10.1016/j.ajog.2021.10.009. Epub 2021 Oct 13.PMID: 34655551 Free PMC article.

Study outcomes included implementation outcomes (ie, provider perceptions of the implementation process and implementation tools [assessed via online provider survey]) and healthcare quality outcomes (ie, trends in prenatal contraceptive counseling, trends in immediate pos …


Promoting teen-to-teen contraceptive communication with the SpeakOut intervention, a cluster randomized trial.

Tebb KP, Dehlendorf C, Rodriguez F, Fix M, Tancredi DJ, Reed R, Brindis CD, Schwarz EB.Contraception. 2022 Jan;105:80-85. doi: 10.1016/j.contraception.2021.08.018. Epub 2021 Sep 12.PMID: 34520728 Clinical Trial.

SpeakOut failed to increase contraceptive communication; regardless of study group, most secondary participants reported peer communication about contraception (86% vs 88%, p = 0.57). ...IMPLICATIONS: Efforts to support teen-to-teen contraceptive communicatio …

Adapting to Changes in Teen Pregnancy Prevention Research: Social Media as an Expedited Recruitment Strategy.

Barney A, Rodriguez F, Schwarz EB, Reed R, Tancredi D, Brindis CD, Dehlendorf C, Tebb KP.J Adolesc Health. 2021 Aug;69(2):349-353. doi: 10.1016/j.jadohealth.2020.12.140. Epub 2021 Feb 23.PMID: 33632643

PURPOSE: Teen pregnancy prevention projects funded by the U.S. Office of Adolescent Health were disrupted by the Trump administration in the July 2017 announcement that funding would be terminated. ...METHODS: The original approach was to recruit girls, aged 15-19 years, w …