The immediate postpartum period can be a particularly favorable time to provide LARC methods, and postpartum provision of LARC is safe and effective. However, some providers and patients have found it difficult to access LARC in a hospital setting. The LARC Program has collected a variety of resources to aid with increasing access to postpartum LARC.
ACOG Practice Bulletin #121 (Reaffirmed 2015): Long-Acting Reversible Contraception - Implants and Intrauterine Devices
ACOG Committee Opinion #672 (2016): Clinical Challenges of Long-Acting Reversible Contraceptive Methods
ACOG Committee Opinion #670 (2016): Immediate Postpartum Long-Acting Reversible Contraception
ACOG Committee Opinion #642 (2015): Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy
ACOG Committee Opinion #615 (2015): Access to Contraception
ACOG Committee Opinion #539 (Reaffirmed 2014): Adolescents and Long-Acting Reversible Contraception - Implants and Intrauterine Devices
ACOG LARC Program: Immediate Postpartum LARC Resource Digest
The LARC Program compiled several of the resources and tools available on immediate postpartum LARC provision. This resource digest is ready-to-use and downloadable, and features immediate postpartum LARC resources on:
- Clinical guidance and implementation
- Billing and reimbursement
- Capacity building and systems change
- Publications on safety, efficacy, expulsion, breastfeeding, cost-effectiveness, and barriers to access.
ACOG LARC Program: Medicaid Reimbursement for Postpartum LARC by State
The LARC Program maintains a list of final or proposed state guidance regarding Medicaid reimbursement for immediate postpartum LARC by state.
ACOG District II: Immediate Post-Placental LARC Insertion Educational Video
(ACOG members only)
ACOG District II (serving New York and Bermuda) created this video to provide clinicians with knowledge and tools to improve their contraceptive practices, describe currently available LARC methods, and illustrate techniques for immediate postpartum IUD and implant insertion.
Kaiser Family Foundation: Medicaid Coverage of Intrauterine Devices (IUDs) & Implants Reimbursement Policy
This interactive table and map from the Kaiser Family Foundation presents state-by-state data on coverage for IUDs and implants, both in general and the specific postpartum hospital setting.
Choose Well Initiative and SCBOI: South Carolina Postpartum LARC Toolkit
The Choose Well Initiative and the South Carolina Birth Outcomes Initiative (SCBOI) created the South Carolina Postpartum LARC Toolkit, a resource for implementing South Carolina’s Medicaid policy on providing long-acting reversible contraception services in the hospital postpartum setting. The toolkit serves as a great resource for other states initiating postpartum LARC.
West Virginia Postpartum LARC Toolkit: A Resource for Providing Long-Acting Reversible Contraceptive (LARC) Services in the Hospital Postpartum Setting
This toolkit, developed by the West Virginia team of the ASTHO Immediate Postpartum LARC Learning Community, is designed to highlight the importance and benefits of immediate postpartum LARC and help providers navigate institutional barriers to implementation. In addition to providing information on currently available LARC devices, the toolkit contains guidance on developing implementation infrastructure, insertion processes, and clinical support for LARC provision in the hospital postpartum setting.
ASTHO: Immediate Postpartum LARC Learning Community
The Association of State and Territorial Health Officials (ASTHO) has established an Immediate Postpartum LARC Learning Community to assist states in the implementation of LARC initiatives focusing on postpartum insertion. A variety of other LARC resources are also available towards the bottom of this ASTHO webpage.
CDC Report: Working with State Health Departments on Emerging Issues in Maternal and Child Health - Immediate Postpartum Long-Acting Reversible Contraception
This report describes ASTHO’s immediate postpartum LARC Learning Community information-sharing collaborative. Specifically, it summarizes the experiences of these states in the LARC Learning Community, discusses the concept of shared learning as a mechanism for systems change, and provides the foundation for other states to initiate or supplement implementation of immediate postpartum LARC policies.
The resources listed above are for information purposes only. Referral to these sources and sites does not imply the endorsement of ACOG. Further, ACOG does not endorse any commercial products that may be advertised or available from these organizations or on these web sites. These lists are not meant to be comprehensive. The exclusion of a source or site does not reflect the quality of that source or site. Please note that sites and URLs are subject to change without notice.