13761231.0004.111 Michigan Journal of Medicine 2470-9727 Michigan Publishing, University of Michigan Library Ann Arbor, MI 13761231.0004.111 http://hdl.handle.net/2027/spo.13761231.0004.111 http://dx.doi.org/10.3998/mjm.13761231.0004.111 Article Understanding patient preferences about immediate postpartum long-acting reversible contraception: a qualitative study Soliman BS Moniz MD Spector-Bagdady JD Heisler MD Finer Zoe Dalton MD 20 05 2019 4 1 2019 This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Please contact mpub-help@umich.edu to use this work in a way not covered by the license. Section 1: Table Labels/Titles Institutional<italic>Actions</italic> to Meet Patient Preferences Based on <bold>Themes</bold> Identified in <underline>Study</underline>. Link <ext-link ext-link-type="uri" xlink:href="https://www.fulcrum.org/michigan">https://www.fulcrum.org/michigan</ext-link>

Theme

Our Steps to Meet Patient Preferences

Theme 1: Many interviewees preferred immediate postpartum insertion, citing the importance of convenience, a postpartum trial period, peace of mind, and ease of the insertion process.

Offer immediate postpartum LARC universally to eligible patients.

Establish standardized process for peripartum contraceptive counseling using shared decision-making and exploration of patient perceptions of advantages/disadvantages to immediate vs. interval LARC insertion.

Theme 2: Women prefer that immediate postpartum insertion be prospectively addressed during routine prenatal care, but introducing the topic during labor and delivery may be acceptable in many circumstances.

Address contraceptive counseling during prenatal care, over multiple visits if needed.
Section 2: Figure Labels/Titles : <underline>Variation</underline> 1 - <italic>Connect</italic>. Link <ext-link ext-link-type="uri" xlink:href="https://www.fulcrum.org/michigan">https://www.fulcrum.org/michigan</ext-link> Section 3: Image Embed from Preview Figure 6: Representative images of primary xenografts and metastatic nodules confirm tumor engraftment and spread.

(A) Primary tumor xenografts were largely expansile and infiltrative, often effacing large portions of kidney (arrowheads), and were associated with large zones of serpentine necrosis (B, arrowheads).

Figure 6: Representative images of primary xenografts and metastatic nodules confirm tumor engraftment and spread. 4f16c398v Section 4: Audio Embed from Preview Home on the Range

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Home on the Range zk51vj169 Section 5: Video Embed from Preview Interview: Patti and Peter Adler

Author interview with Patti and Peter Adler

https://doi.org/10.3998/mpub.11519906.cmp162 Interview: Patti and Peter Adler 4t64gp22j Section 6: Interactive Map Embed from Preview Music on the Move: Trading Area of the Dutch East India Company

Figure 1.1. Music on the Move: Trading Area of the Dutch East India Company. Map by Eric Fosler-Lussier, based on Femme S. Gaastra, The Dutch East India Company: Expansion and Decline (Leiden: Walburg Pers, 2003), 42.

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