A RETROSPECTIVE CHART REVIEW: LONG-ACTING REVERSIBLE CONTRACEPTION UTILIZATION AT UNIVERSITY MEDICAL CENTER Cheree Melton, D.O., Ashley Wambolt, M.D.,

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A RETROSPECTIVE CHART REVIEW: LONG-ACTING REVERSIBLE CONTRACEPTION UTILIZATION AT UNIVERSITY MEDICAL CENTER Cheree Melton, D.O., Ashley Wambolt, M.D., Amy Wambolt, M.D. Kristine Graettinger, M.D. The University of Alabama INTRODUCTION METHODS FUTURE DIRECTIONS There are many factors women consider when choosing a method of contraception including effectiveness, access, convenience, and side effects. Regardless of how they prioritize their decision, women ultimately want to be satisfied with the selection they make. Studies have shown that long-acting reversible contraception (LARC) has the highest satisfaction and continuation rates among the various methods of contraception. In 2010, 55% of pregnancies in Alabama were unintended. Alabama’s unintended pregnancy rate in 2010 was 48 per 1,000 women aged 15-44. Nationally, rates among states for unintended pregnancy rate in 2010 ranged from 32 to 62 per 1,000. Misconceptions and lack of education are key barriers to LARC use. A retrospective chart review of female patients seen at the UMC from 2011 to 2016 will be conducted to examine: Demographics Payer source Type of IUD: copper IUD, levonorgestrel-releasing intrauterine system, or contraceptive implant Utilization of LARC services by specific clinic Patient medical history, including number of pregnancies and number of live births Indications for LARC placement, removal, and associated complications Interval from LARC insertion to removal with reason for discontinuation We hope to identify barriers to LARC utilization within the community. Develop educational tools and strategies to increase patient awareness of the benefits of LARC use. We hope to improve resident education regarding patient contraception decision-making. REFERENCES PURPOSE Barriers and Facilitators to Adolescents' Use of Long-Acting Reversible Contraceptives. Pritt NM, Norris AH, Berlan ED. J Pediatr Adolesc Gynecol. 2017 Feb;30(1):18-22. doi: 10.1016/j.jpag.2016.07.002. Epub 2016 Jul 28. PMID 27477904. IUD knowledge and experience among family medicine residents. Schubert FD, Herbitter C Fletcher J., Gold M. Fam Med. 2015 Jun;47(6):474-7. PMID 26039766. Kost K, Unintended Pregnancy Rates at the State Level: Estimates for 2010 and Trends Since 2002, New York: Guttmacher Institute, 2015, https://www.guttmacher.org/ report/unintended-pregnancy-rates-state-level-estimates-2010-and-trends-2002. Trends in long-acting reversible contraception use among U.S. women aged 15-44. Branum AM, Jones J. NCHS Data Brief. 2015 Feb;(188):1-8. PMID 25714042. The purpose of this research is to measure long-acting reversible contraception (LARC) utilization among women ages 19 or above at University Medical Center (UMC) from 2011-2016.