What We Do

Our Mission

The mission of the Postpartum Contraceptive Access Initiative is to ensure all women have access to the full range of postpartum contraceptive methods before leaving the hospital after a delivery.

Our Approach

PCAI prepares obstetrician–gynecologists and other health care providers to offer the full range of contraceptive methods to women after delivery through comprehensive, individualized trainings.

The immediate postpartum period can be a particularly favorable time to provide LARC methods, and research shows that postpartum LARC provision is safe and effective. Expanding access to postpartum initiation of effective contraception, including LARC methods, can empower women to choose the best method for them, and can reduce rapid repeat and unintended pregnancies.

Through onsite training and support, ACOG supports

implementation of immediate postpartum LARC provision at participating sites, supporting access to the full range of contraceptive methods postpartum. This can result in women obtaining their desired contraceptive method and birth spacing while also having higher satisfaction and continuation rates with their choice of postpartum contraception.

The ACOG LARC Program created PCAI, in consultation with more than 20 family planning clinicians and experts, many of whom implemented immediate postpartum LARC at their own institution. The insights and best practices gleaned from these experts inform the PCAI program design.

Our Approach

PCAI prepares obstetrician–gynecologists and other health care providers to offer the full range of contraceptive methods to women after delivery through comprehensive, individualized trainings.

The immediate postpartum period can be a particularly favorable time to provide LARC methods, and research shows that postpartum LARC provision is safe and effective. Expanding access to postpartum initiation of effective contraception, including LARC methods, can empower women to choose the best method for them, and can reduce rapid repeat and unintended pregnancies.

Through onsite training and support, ACOG supports implementation of immediate postpartum LARC provision at participating sites, supporting access to the full range of contraceptive methods postpartum. This can result in women obtaining their desired contraceptive method and birth spacing while also having higher satisfaction and continuation rates with their choice of postpartum contraception.

The ACOG LARC Program created PCAI, in consultation with more than 20 family planning clinicians and experts, many of whom implemented immediate postpartum LARC at their own institution. The insights and best practices gleaned from these experts inform the PCAI program design.

Evidence-Based Program Design

PCAI uses an evidence-based, systems approach to offset implementation barriers. Key program components include:

Three-pronged implementation model bolsters ongoing success.

Evidence-based research supports the use of a tiered approach for implementing immediate postpartum LARC and ACOG believes a staged approach is crucial for successful implementation. The PCAI program design incorporates a three-pronged implementation model to support successful provision of immediate postpartum LARC. These phases include:

  1. Setting the stage for implementation
  2. Clinical and operational support trainings
  3. Ongoing support through a web-based resource hub and follow up technical assistance

Local leadership & insights inform individualized training plan.

Providers know their institution’s needs the best. Therefore, prior to any onsite training, ACOG staff learn from local partners with on-the-ground insights and collaborate with them to create an individualized training plan for their institution through the completion of a needs assessment. Potential trainings include:

  1. Building Capacity to Implement Immediate Postpartum LARC
  2. Immediate Postpartum LARC for Clinicians Doing Deliveries
  3. The Role of Nursing in Immediate Postpartum LARC Implementation
  4. Contraceptive Counselling for the Immediate Postpartum Period
  5. Immediate Postpartum Contraception and Breastfeeding
  6. Billing, Coding & Payment for Immediate Postpartum LARC Services

Training partners have included: hospitals, health systems, residency programs, perinatal quality collaboratives, and state-wide initiatives to decrease unintended pregnancy.

The importance of shared medical decision making highlighted in every training.

All PCAI trainings highlight the importance of patient autonomy and discuss ways to engage in shared medical decision making, which can increase patient engagement and reduce risk resulting in improved outcomes, satisfaction, and treatment adherence.

Train-the-trainer model fosters sustainability through a pool of trained, local clinicians.

PCAI uses a “train-the-trainer” model whenever requested by a participating site. The “train-the-trainer” model builds a pool of trained clinicians who can both provide ongoing support onsite after the ACOG-provided training and teach others the knowledge and skills within their content area.

Ready to apply for training?