Provider perceptions of early postpartum IUDs
Contraception
Awarded 2018
Complex Family Planning Fellowship Research
Regan Riley, DO, MPH
University of New Mexico Health Sciences Center
$89,644

The proposed study is nested within a multisite randomized controlled non-inferiority trial comparing expulsion rates between 2 to 4 week early postpartum (EPP) IUD insertion and the traditional 6 week IUD insertion. We propose to explore provider perceptions of EPP IUD insertion and about the early postpartum visit, both before and after implementation of a 2-4 week visit and IUD insertion in study participants randomized to that intervention. Data will be collected via structured interviews with 10-15 providers participating in the parent study, at each of the three study sites: University of California San Diego, University of Chicago, and University of New Mexico, prior to the onset of the study and after the study has been ongoing for 6 to 9 months. Data will be analyzed with a directed content analysis approach using Consolidated Framework for Implementation Research (CFIR) constructs. The primary objective is to evaluate provider perspectives of 2 to 4 week early postpartum IUD placement and to evaluate whether these attitudes change after 6 to 9 months of providing early postpartum IUDs. The secondary objective is to evaluate provider perspectives of a 2 to 4 week postpartum visit and to evaluate whether these attitudes change after 6 to 9 months of providing early postpartum care.