Postpartum Contraception

Birth spacing can lead to better outcomes for both new parents and infants. Many patients want a contraceptive method to prevent pregnancy too soon after giving birth. As patients typically spend two or more days in the hospital after delivery, there are ample opportunities to provide them with contraception before they go home. With the recent changes in MassHealth billing regulations, patients have more options than ever, including immediate postpartum placement of IUDs and implants. Here you will find information related to patient counseling, consent, and the provision of contraception immediately after giving birth or before leaving the hospital.

To successfully implement postpartum contraception at your practice, we recommend that you check out our PICCK materials, including:

  • Checklist for Champions: Postpartum Contraception
  • Postpartum LARC Toolkit
  • LARC Billing Guideline
  • Postpartum LARC Provider Credentialing Guide
  • Postpartum LARC Sample Auto Text for EMR
  • Postpartum LARC Sample Protocols
  • Postpartum LARC Ultrasound Placement Video
  • White Paper: Postpartum Contraception and Breastfeeding
  • Infographics:
    • Postpartum LARC Counseling and Consent
    • Postpartum IUD Preparation and Equipment
    • Insertion of Postpartum IUD Before Hospital Discharge
    • Insertion of IUD Immediately Post Vaginal Delivery
    • Insertion of IUD During Cesarean Delivery

Topic

Article Type

The Florida Perinatal Quality Collaborative provides steps for providers on how to insert an IUD or implant immediately after child...

Toolkits and Guidelines, External Links

March of Dimes provides information about child-spacing, its importance, and how to do it in a question and answer format.

Toolkits and Guidelines, External Links

The US National Library of Medicine and National Institutes of Health provide an abstract of a study investigating the outcomes...

Toolkits and Guidelines, External Links

The American College of Obstetricians and Gynecologists provides a Committee Opinion about immediate postpartum LARC. This document includes strategies for...

Toolkits and Guidelines, External Links

Contraceptive Action Plan (CAP) provides a 5-step model and communication skills tool to assist providers in contraceptive counseling.

Documents, External Links

This journal article published by the American Journal of Obstetrics and Gynecology examines the association between prenatal and postpartum contraceptive...

External Links

Learn how to build your own low-fidelity model to practice vaginal insertion of immediate postpartum IUD with four materials. This...

Documents, Videos, Our PICCKs

A list of terms relating to Long-Acting Reversible Contraception provided by the University of California at San Francisco.

Contraceptive Methods Information, External Links

Although immediate postpartum LARC insertion has been shown to be safe and effective, not all providers offer this method for...

Webinars, External Links

A quick procedure reference for IUD insertion during cesarean delivery.

Documents, Our PICCKs

A quick procedure reference for IUD insertion within 10 minutes of vaginal delivery.

Documents, Our PICCKs

A quick procedure reference for IUD insertion postpartum before discharge.

Documents, Our PICCKs

Not every device or method is covered by every carrier. It is good practice to check with every payer to...

Documents, Our PICCKs

Guidance on how to accurately bill for long acting reversible contraception (LARC) supplies and services. This includes examples of coding,...

Toolkits and Guidelines, Our PICCKs

The LARC Program Help Desk is an online tool from the American College of Obstetricians and Gynecologists to answer your...

External Links

The Illinois Perinatal Quality Collaborative provides a one page fact sheet about the who, what, when, where, why, and how...

Documents, External Links

Sister Song and the National Women’s Health Network provide an endorsed LARC Statement of Principles that gives support for the...

Toolkits and Guidelines, External Links

The American College of Obstetricians and Gynecologists provides answers to frequently asked questions about Long-Acting Reversible Contraception (LARC). Topics include...

Contraceptive Methods Information, External Links

MassHealth provides coding guidance as well as specific billing instructions for LARC devices in Massachusetts.

Toolkits and Guidelines, External Links

We provide a checklist for Champions to help them ensure that all tasks and trainings in regard to implementation of...

Toolkits and Guidelines, Our PICCKs

The American College of Obstetricians and Gynecologists answers frequently asked questions about postpartum birth control including available methods and their...

Toolkits and Guidelines, Documents, External Links, Our PICCKs

A postpartum contraceptive decision aid that is designed to explore patients’ values and preferences for contraception postpartum. PICCK suggests using...

Contraceptive Methods Information, Our PICCKs

The University of Colorado Department of Obstetrics and Gynecology provides step-by-step instructions for providers on postplacental IUD insertion. Additionally, eligibility...

Toolkits and Guidelines, External Links

A quick reference for postpartum IUD preparation and equipment.

Documents, Our PICCKs

Best practices for LARC counseling during the prenatal period and how to document informed consent.

Documents, Our PICCKs

Nurse education information about LARC and, specifically, immediate postpartum LARC devices. These materials review the role of nurses, and other...

Documents, External Links

We provide a sample checklist of steps for provider credentialing in immediate postpartum IUD insertion, that you can adapt for...

Documents, Our PICCKs

Sample autotext for your EMR when providing immediate postpartum LARC.

Documents, Our PICCKs

Postpartum LARC Sample Protocols Introduction An important first step in establishing postpartum LARC (PPLARC) services at your hospital is to...

Toolkits and Guidelines, Our PICCKs

A toolkit for providers and staff on implementing postpartum LARC services at their hospital, including sample protocols, counseling and consent...

Toolkits and Guidelines, Our PICCKs

A video to observe postpartum IUD insertion with ultrasound guidance. Coming 2020!

Videos, Our PICCKs

A collection of videos demonstrating postpartum LARC insertion and how to build a practice model at home. Immediate Post-Placental LARC...

Videos, External Links

The American College of Obstetricians and Gynecologists answer frequently asked questions about postpartum sterilization. Topics covered include what postpartum sterilization...

Contraceptive Methods Information, External Links

The American College of Obstetricians and Gynecologists answer frequently asked questions about birth control options that contain progestin as the...

Contraceptive Methods Information, External Links

This document describes the need for postpartum contraception during COVID-19, lists best practices for providing postpartum contraception, and distinguishes between...

Contraceptive Methods Information, Our PICCKs

The American College of Obstetricians and Gynecologists provides answers to frequently asked questions about sterilization by laparoscopy. Topics covered include...

Contraceptive Methods Information, External Links

The American College of Obstetricians and Gynecologists answers frequently asked questions about both male and female sterilization. Topics include what...

Contraceptive Methods Information, External Links

An abstract of a study (with a link to the full manuscript) regarding the cost-effectiveness of postpartum IUD placement within...

Documents, External Links

The Postpartum Contraceptive Access Initiative provides a website with resources for providers to be trained in postpartum contraception so that...

External Links

A contact form for Postpartum Contraceptive Access Initiative to inquire about a training or other questions.

External Links

The American College of Obstetricians and Gynecologists provides answers to frequently asked questions about immediate postpartum LARC including what options...

Contraceptive Methods Information, External Links

Immediate postpartum long-acting reversible contraception (IPP LARC) provision has been endorsed by the American College of Obstetricians and Gynecologists (ACOG), the...

Documents, Our PICCKs

Coming 2020! We review and present the literature on the impact of postpartum contraception on lactation, summarize the guidelines and...

Toolkits and Guidelines, Our PICCKs