Among reproductive-aged women with public insurance at a regional health system, those with at least one chronic health condition were twice as likely to use highly effective contraception than women without a chronic condition, according to a retrospective cohort study in the Journal of General Internal Medicine.
Said principal investigator Lori Gawron, MD, an assistant professor of ob/gyn at the University of Utah in Salt Lake City, “As an ob/gyn, I frequently care for women who have chronic health conditions that are not optimally managed at the time of a pregnancy. I also observe adverse outcomes that potentially could have been avoided with improved preconception health.”
Dr. Gawron said that most prevalence studies for chronic conditions do not break down their findings for reproductive-aged women. “Therefore, I wanted to understand the prevalence of conditions in young women who are at risk of pregnancy to identify opportunities to improve preconception health and pregnancy planning,” she told Contemporary OB/GYN.
The study used electronic health records to identify all women aged 16 to 49 who accessed care between 2010 and 2014 at one or both of the two largest health systems located in the Intermountain West of the United States: University of Utah Health Care (UUHC) and Intermountain Healthcare (IHC).
The investigators employed administrative codes to identify highly effective contraception and flag chronic health conditions listed in the U.S. Medical Eligibility Criteria for Contraceptive Use (US MEC) and known to increase risk of adverse pregnancy outcomes.
Dr. Gawron reports no relevant financial disclosures.