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Long Acting Reversible Contraception (LARC)

 

| CLICK HERE for ACOG District II LARC Clinical Education Video |

 
In 2010 in New York State, 84,000 births (34.4% of all births) were unplanned and 70.2% of these births were paid with public funds at a cost of $1,538,700,000. (Source: The Guttmacher Institute, February 2015). Conversely, investments in family planning services like contraception save U.S. taxpayers $15.8 billion according to a 2014 analysis in the Milbank Quarterly.

Intrauterine devices (IUDs) and contraceptive implants, or long-acting reversible contraception (LARC), are the most effective forms of reversible contraceptives. Over the past year, ACOG District II family planning experts have come together to develop relevant clinical education on the utilization of LARC methods in eligible patients, especially in the immediate postpartum period.

While LARC utilization is slowly increasing, it is imperative to counsel patients on their full range of contraceptive options and help them choose the method that is right for them. In ACOG District II’s clinical video you will find information on:

  ✓  LARC methods
  ✓  Clinical practice considerations
  ✓  Insertion considerations
  ✓  System and reimbursement barriers
  ✓  Complex case studies to test your knowledge

For more information on ACOG District II’s LARC education, please contact Kristin Zielinski, Senior Director of Operations, at 518-436-3461 or kzielinski@ny.acog.org.


Clinical Education Video
New Section! Immediate Post-Placental LARC Insertion (August 2016)

New LARC Video

This clinical education video has been made possible through educational grant funding from Bayer Healthcare.

 

For Providers


Quick Guide to LARC Reimbursement (August 2016)

ACOG LARC Program - includes patient resources

The American College of Obstetricians and Gynecologists. Adolescents and long-acting reversible contraception: implants and intrauterine devices.” ACOG Committee Opinion 539 (2012).  Reaffirmed 2014.

The American College of Obstetricians and Gynecologists. Clinical Challenges of Long-Acting Reversible Contraceptive Methods.” ACOG Committee Opinion 627 (2016).

The American College of Obstetricians and Gynecologists. Immediate Postpartum Long-Acting Reversible Contraception.” ACOG Committee Opinion 670 (2016). 

The American College of Obstetricians and Gynecologists. “Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy.” ACOG Committee Opinion 642 (2015). 

The American College of Obstetricians and Gynecologists. “Long-Acting Reversible Contraception: Implants and Intrauterine Devices.” ACOG Practice Bulletin 121 (2011). Reaffirmed 2013.

Bedsider (provider site)

Centers for Disease Control and Prevention. "US Medical Eligibility Criteria for Contraceptive Use, 2016." Morbidity and Mortality Weekly Report, Recommendations and Reports (2016); 65(RR-3):1-106. http://www.cdc.gov/mmwr/volumes/65/rr/pdfs/rr6503.pdf

LARC Locator – Register to connect with patients seeking implant & IUD services

Montefiore Medical Center’s getLARC Programfunding for Family Practice residency training programs

NYS Medicaid Family Planning Services FAQ (May 2015) - includes detailed information on billing for contraceptives, including the IUD and implant


For Patients

View our patient brochure, IUDs and Implants for Postpartum Contraception & take our survey! (February 2016)

ACOG FAQ 184 (2014): “Long-Acting Reversible Contraception (LARC): IUD and Implant.”  – for patients

Bedsider (patient site)

 

 

In the News

More Women Are Getting IUDs Right After Giving Birth (TIME, October 6, 2015)

With New Study, New Mothers Seeking IUDs Are No Longer Urged to Wait (NY Times, June 8, 2015)

Lisa Romero, DrPH, Karen Pazol, PhD, Lee Warner, PhD, et al. “Vital Signs: Trends in Use of Long-Acting Reversible Contraception Among Teens Aged 15-19 Years Seeking Contraceptive Services - United States, 2005–2013.” Morbidity and Mortality Weekly Report, 64(13):2015, 362-9.

"Report: Women embrace more effective birth control" (USA Today, February 24, 2015)

"IUDs can be practical for teenagers, but pediatricians may lack training in their use" (The Washington Post, February 10, 2015)

 “The Return of the IUD: Why a Once Controversial Form of Birth Control Is Worth Considering” (Vogue, February 2, 2015)

“Everything You Need To Know about Getting an IUD” (The Huffington Post, January 10, 2015)  

“Use of Highly Effective Contraceptives in the U.S. Continues to Rise, with Likely Implications for Declines in Unintended Pregnancy and Abortion” (Guttmacher Institute, December 12, 2014)

"The simple policy that led America’s biggest drop in teen birth rates" (The Washington Post, August 20, 2014)

"Why is the most effective form of birth control - the IUD - also the one no one is using?" (TIME, June 30, 2014)

Centers for Disease Control and Prevention. “Selected Practice Recommendations for Contraceptive Use, 2013.” Morbidity and Mortality Weekly Report, Recommendations and Reports (2013); 62(RR05); 1-46.

 

Articles on System Barriers & Reimbursement

MH Moniz, VK Dalton, MM Davis, et al. “Characterization of Medicaid policy for immediate postpartum contraception,” Contraception. 2015, in press.

Aiken ARA, Creinin MD, Kaunitz A, et al. “Global fee prohibits postpartum provision of the most effective reversible contraceptives,” Contraception. 90(5): 2014, 466-7.

Centers for Disease Control and Prevention. ”Quality Family Planning Services, 2014.” Morbidity and Mortality Weekly Report, Recommendations and Reports (2014), 63(RR04): pp. 1-29.

Rodriguez, Maria I. et al. “Advocating for immediate postpartum LARC: increasing access, improving outcomes, and decreasing cost,” Contraception, 90(5): 2014, 468-71.

 

Around the Web

New York City IUD Taskforce

Contraceptive Choice Project- LARC First Practice

 

 

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998