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Commentary| Volume 95, ISSUE 4, P335-338, April 2017

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Immediate postpartum long-acting reversible contraception: the time is now

  • Michelle Moniz
    Correspondence
    Corresponding author. Tel.:+1-734-764-8123; fax: +1-734-763-5992.
    Affiliations
    Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA

    Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
    Search for articles by this author
  • Tammy Chang
    Affiliations
    Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA

    Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA
    Search for articles by this author
  • Michele Heisler
    Affiliations
    Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA

    Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA

    School of Public Health, University of Michigan, Ann Arbor, MI, USA
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  • Vanessa K. Dalton
    Affiliations
    Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA

    Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
    Search for articles by this author
      Timely access to contraception is vitally important after childbirth. One third of US pregnancies are conceived less than 18 months after a prior birth [
      • US Department of Health and Human Services
      • Office of Disease Prevention and Health Promotion
      ]. These short-interval pregnancies are often unintended and are associated with increased risk of adverse maternal and child health outcomes [
      • Conde-Agudelo A.
      • Rosas-Bermudez A.
      • Castaño F.
      • Norton M.H.
      Effects of birth spacing on maternal, perinatal, infant, and child health: a systematic review of causal mechanisms.
      ,
      • Conde-Agudelo A.
      • Rosas-Bermudez A.
      • Kafury-Goeta A.C.
      Birth spacing and risk of adverse perinatal outcomes: a meta-analysis.
      ,
      • Klerman L.V.
      • Cliver S.P.
      • Goldenberg R.L.
      The impact of short interpregnancy intervals on pregnancy outcomes in a low-income population.
      ,
      • Zhu B.P.
      • Haines K.M.
      • Le T.
      • McGrath-Miller K.
      • Boulton M.L.
      Effect of the interval between pregnancies on perinatal outcomes among white and black women.
      ,
      • Zhu B.P.
      • Le T.
      Effect of interpregnancy interval on infant low birth weight: a retrospective cohort study using the Michigan maternally linked birth database.
      ,
      • Zhu B.P.
      • Rolfs R.T.
      • Nangle B.E.
      • Horan J.M.
      Effect of the interval between pregnancies on perinatal outcomes.
      ,
      • White K.
      • Teal S.B.
      • Potter J.E.
      Contraception after delivery and short interpregnancy intervals among women in the United States.
      ].
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