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.

PICCK-created resources:

• Administrative
  • PICCK Checklist for Champions: Postpartum Contraception
  • Postpartum LARC Provider Credentialing Guide
  • Postpartum LARC Sample Auto Text for EMR
• Billing
  • LARC Billing Guideline
  • Tips and Tricks for MassHealth Postpartum LARC Billing
  • Insurance Verification Form for IUD and Implantable Subdermal Contraception
  • Billing for Contraceptive Counseling
  • Postpartum LARC Revenue Cycle Processes
• Same Protocols
  • Postpartum LARC Sample Protocols
  • Postpartum Contraception Maternity Care Guideline
• Counseling and Consent
  • Postpartum LARC Counseling and Consent
  • Postpartum Contraception Decision Aid
  • Top 10 Tips for Prenatal Contraception Counseling
  • Tips and Strategies for Discussing Contraception with Postpartum Patients
  • My Postpartum Birth Control Plan
• Postpartum IUD Insertion
  • Postpartum IUD Preparation and Equipment
  • DIY: Postpartum IUD (PPIUD) Model
  • Insertion of IUD During Cesarean Delivery
  • Insertion of IUD Immediately Post Vaginal Delivery
  • Insertion of Postpartum IUD Before Hospital Discharge
  • Postpartum LARC Ultrasound Placement Video
• Postpartum Implant Insertion
  • Nexplanon Equipment List
• Best Practices
  • Postpartum LARC Toolkit – coming soon!
  • Breastfeeding and Hormonal Contraception: A Scoping Review of Clinical Guidelines, Professional Association Recommendations, and the Literature
  • Postpartum Contraception

Curated resources:

• Child-Spacing
  • Child-Spacing Benefits in English and Spanish
• Billing
  • MassHealth Billing Instructions for LARC Devices
  • Timing of Postpartum Intrauterine Device Placement: A Cost-Effectiveness Analysis
  • ICD-10 Codes for Family Planning Services Job Aid
  • Commonly Used CPT and HCPCS Codes in Reproductive Health Care Job Aid
• Counseling and Consent
  • Contraceptive Action Plan: A 5 Step Client-Centered Approach
  • Contraceptive Counseling and Postpartum Contraceptive Use
  • US Postpartum Contraceptive Access Initiative
  • LARC Help Desk
• Postpartum Contraceptive Methods
  • Postpartum Birth Control (ACOG)
  • Postpartum Birth Control (NWM)
  • Using Long-Acting Reversible Contraceptives Right After Child Birth
  • Long-Acting Reversible Contraception: Intrauterine Device and Implant
  • Postpartum Sterilization
    • Sterilization by Laparoscopy
    • Sterilization for Women and Men 
  • Progestin-Only Hormonal Birth Control: Pill and Injection
  • Glossary for Long-Acting Reversible Contraception
  • Breastfeeding and Contraception: Counseling Considerations Job Aid
• Postpartum IUD Insertion
  • Access LARC
  • Postpartum IUD Insertion Training
  • Cochrane Collaboration: Immediate Postpartum Insertion of Intrauterine Device for Contraception (Review)
  • Postpartum LARC Videos
• Nurse Training
  • LARC Initiative Nursing Education 
  • Postpartum LARC Nursing Education Slides
• Best Practices
  • White Paper on Immediate Postpartum Long Acting Reversible Contraception Access
  • Committee Opinion: Immediate Postpartum Long-Acting Reversible Contraception 
  • LARC Statement of Principles
  • CDC US Medical Eligibility Criteria (US MEC) and US Selected Practice Recommendations (US SPR) for Contraceptive Use