Skip to Main Content
 

Global Search Box

 
 
 
 

Files

File List


Thesis.pdf (199.23 KB)

ETD Abstract Container

Abstract Header

Insurance-Based Disparities in Provision of Postpartum Sterilization and Long-Acting Reversible Contraception

Arora, Kavita S
http://orcid.org/0000-0002-9912-9466
http://rave.ohiolink.edu/etdc/view?acc_num=case1548428371429909

Abstract Details

2019, Master of Sciences, Case Western Reserve University, Clinical Research.
Many barriers to the most effective forms of postpartum contraception, sterilization and long-acting reversible contraception (LARC), exist. Our goal was to assess fulfillment of sterilization and LARC requests, timing of request completion, and impact of non-fulfillment between those with Medicaid and private insurance while accounting for the complex interplay between insurance, clinical, and social factors. After analyzing a retrospective cohort involving 8,654 women delivered at or beyond 20 weeks of gestation from January 1, 2012 through December 31, 2014 at our urban, tertiary-care teaching hospital, we concluded that differences in fulfillment rates of postpartum sterilization or LARC and time to sterilization or LARC between women with Medicaid versus private insurance are not significant after adjusting for relevant clinical and demographic factors. However, adequacy of prenatal care remains an important factor to fulfillment of postpartum sterilization and LARC, confirming the importance of antenatal contraceptive counseling in reducing disparities in contraceptive care.
Brian Mercer, MD (Committee Chair)
Robert Kalayjian, MD (Committee Member)
James Spilsbury, PhD (Committee Member)
27 p.
Medicine; Obstetrics; Public Health
postpartum contraception; sterilization; long-acting reversible contraception; LARC; Medicaid; disparities; reproductive justice

Recommended Citations

Citations

  • Arora, K. S. (2019). Insurance-Based Disparities in Provision of Postpartum Sterilization and Long-Acting Reversible Contraception [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1548428371429909

    APA Style (7th edition)

  • Arora, Kavita. Insurance-Based Disparities in Provision of Postpartum Sterilization and Long-Acting Reversible Contraception. 2019. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1548428371429909.

    MLA Style (8th edition)

  • Arora, Kavita. "Insurance-Based Disparities in Provision of Postpartum Sterilization and Long-Acting Reversible Contraception." Master's thesis, Case Western Reserve University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1548428371429909

    Chicago Manual of Style (17th edition)

case1548428371429909
335
© 2019, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.