The Impact of an Adolescent Gynecology Provider on Intrauterine Device and Subdermal Contraceptive Implant Use Among Adolescent Patients

• Published in: Journal of pediatric & adolescent gynecology 2020-08, Vol.33 (4), p.377-381
• Main Authors: Crain, Courtney L., DeFruscio, Anne E., Shah, Preeya T., Hunt, Laura, Yoost, Jennie L.
• Format: Article
• Language: English
• Subjects: Intrauterine device; Long acting reversible contraception; Pediatric and adolescent gynecology; Subdermal implant
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2020.02.004

To assess how the addition of a pediatric and adolescent gynecologist (PAG) in an area where one has not previously been available affects the use of long-acting reversible contraception (LARC) among adolescent and adult women 13-24 years of age. Retrospective chart review. Academic practice including 12 general practice obstetric/gynecologists (GP) and 1 PAG, and Title X clinics in 3 neighboring counties in West Virginia. Patients receiving an intrauterine device (IUD) or implant during 2010-2016. Subject charts were reviewed for age and date at insertion, provider (GP, PAG, and Title X), device type, parity, discontinuation, and sequential LARC placement. Frequencies of LARC and relative risks (RR) with 95% confidence intervals were calculated for the 13- to 17-year and 18- to 24-year age groups and compared between provider type. The frequency of LARC increased over time for all providers for participants age 13-24; the PAG had the highest frequency of LARC among participants aged 13-17 years. The RR for IUD provision for the PAG provider among those aged 13-17 years was 3.1 and 32.5 times greater compared to GP and Title X (P