Immediate Postpartum LARC

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 Resources:

ACOG Practice Bulletin #121 (Reaffirmed 2015): Long-Acting Reversible Contraception: Implants and Intrauterine Devices

ACOG Committee Opinion #539 (Reaffirmed 2014): Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

ACOG Committee Opinion #615 (2015): Access to Contraception

ACOG Committee Opinion #642 (2015): Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

‚ÄčImmediate 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.

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.

Other Resources:

The 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.

The Association of State and Territorial Health Officials’ (ASTHO) LARC Resources

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 on the ASTHO website.

Report from the CDC: 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.