Outcomes of a two-visit protocol for long acting reversible contraception for adolescents and young adults.
PURPOSE
To examine outcomes of a 2-visit protocol for placement of intrauterine or subdermal contraception.


METHODS
We identified all women ages 15 to 27 who received an order for an intrauterine or subdermal contraceptive between January 2014-December 2016. We examined time from order to contraceptive placement and reasons for incomplete orders.


RESULTS
We identified 1,192 unique patients who received 1,323 orders for intrauterine or subdermal contraceptives; 68% were completed at a second visit. The median time from order to placement was 22 days (interquartile range = 15-35). Of incomplete orders, 41% were related to logistics of a subsequent visit. Twenty-eight percent of patients had a subsequent pregnancy within the study period.


CONCLUSIONS
Efforts to provide same-day access for all contraceptive methods are needed.
['Wilkinson|Tracey A|TA|', 'Edmonds|Brownsyne Tucker|BT|', 'Cheng|Erika R|ER|']
Contraception Adolescent Young Adults Pregnancy Access Federally Qualified Health Center Long-Acting Reversible Contraception