The Association between Immediate Postpartum Etonogestrel Implants and Positive Postpartum Depression Screens in Adolescents and Young Adults - 24/09/20
, Kira Grush, BA, MA 1, Jeanelle Sheeder, MSPH, PhD 1, Kristina Tocce, MD, MPH 2Abstract |
Objective |
We aimed to compare rates of positive postpartum depression screens at 6 weeks postpartum among adolescents and young adults (AYA) initiating immediate postpartum contraceptive implants and those initiating other methods.
Design |
Through a retrospective observational design, we collected data on demographics, reproductive history, prenatal and postnatal depression, and postpartum contraception.
Setting |
Patients participating in an AYA prenatal-postnatal program were eligible for inclusion.
Participants |
A total of 497 patients were enrolled between January 2013 and December 2016. The median age was 19 years (range 13-22 years); 86% were primiparous, 50% were Latina, 24% were black, and 16% were white; 34% initiated immediate postpartum implants (n = 169).
Intervention |
Those initiating a contraceptive implant within the first 14 days postpartum were included in the intervention group.
Main Outcome Measure |
We compared rates of positive Edinburgh Postpartum Depression Scales (EDPS) (scores ≥10) in AYA initiating immediate postpartum implants and those initiating other contraceptive methods.
Results |
The AYA initiating immediate postpartum implants were similar to the rest of the cohort in baseline characteristics, aside from an increased rate of preterm births among the intervention group (19.4% vs 12.1%; P = .03). Prenatally, 14% had an elevated Center for Epidemiologic Studies Depression Scale (CES-D) scores (11.5% immediate postpartum implants vs 15.4% comparison, P = .25). At 6 weeks postpartum, 7.6% had a positive postpartum depression screen; this rate was significantly lower for those initiating immediate postpartum implants compared to those choosing other methods (4.1% vs 9.5%, P = .04).
Conclusions |
Providers should continue to encourage AYA to choose whichever highly effective contraceptive method they prefer for postpartum use.
Le texte complet de cet article est disponible en PDF.Key Words : Adolescent, Immediate postpartum implant, Long-acting reversible contraception, Postpartum depression
Plan
| Kristina Tocce is a Nexplanon trainer through Merck. No financial support was received for the conduct of this research. The other authors indicate no conflict of interest. |
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| Preliminary findings were presented at the 2018 North American Forum on Family Planning, New Orleans, LA, October 20-22, 2018. |
Vol 33 - N° 5
P. 550-554 - octobre 2020 Retour au numéro
Article précédent
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