Table 5 -.
Independent Predictors of the Likelihood of Receiving Inpatient Immediate Postpartum Long Acting Reversible Contraception (IPP LARC) Compared to Postpartum Tubal Ligation (PPTL)
| Unadjusted OR (95%CI) | Adjusted OR (95%CI) | |
|---|---|---|
| Age, years | ||
| 18–29 | 3.61(3.44–3.79) | 6.21(5.42–7.11) |
| 30–34 | 0.54(0.51–0.57) | 1.90(1.63–2.20) |
| > 35* | -- | -- |
| Race | ||
| Caucasian* | -- | -- |
| African-American | 3.09(2.94–3.25) | 2.00(1.77–2.26) |
| Hispanic | 1.14(1.08–1.19) | 0.94(0.84–1.06) |
| Asian/Pacific Islander | 1.06(0.93–1.19) | 1.50(1.17–1.91) |
| Native American | 1.94(1.61–2.34) | 2.90(1.94–4.33) |
| Region | ||
| North | 2.13(2.01–2.25) | 3.19(2.83–3.61) |
| MidWest | 0.61(0.57–0.65) | 0.97(0.84–1.12) |
| West | 1.06(1.00–1.12) | 1.69(1.48–1.94) |
| South* | -- | |
| Hospital Location | ||
| Rural | 0.17(0.15–0.20) | 0.09(0.06–0.12) |
| Urban Non-Teaching | 0.20(0.19–0.28) | 0.36(0.31–0.41) |
| Urban Teaching* | -- | -- |
| Hospital Size | ||
| Large* | -- | |
| Medium | 0.82(0.78–0.86) | 0.61(0.54–0.67) |
| Small | 0.44(0.40–0.49) | 0.38(0.32–0.44) |
| Population Density Around Hospital | ||
| Central County* | -- | |
| Fringe County | 0.65(0.61–0.69) | 0.55(0.48–0.62) |
| Large Metro County | 0.83(0.78–0.88) | 0.58(0.51–0.66) |
| Small Metro County | 0.49(0.45–0.55) | 0.35(0.28–0.44) |
| Micropolitan | 0.36(0.32–0.40) | 0.62(0.47–0.79) |
| Median Household Income | ||
| 1st Quartile | 1.48(1.42–1.56) | 0.67(0.58–0.78) |
| 2nd Quartile | 0.80(0.76–0.85) | 0.64(.54–0.74) |
| 3rd Quartile | 0.82(0.78–0.87) | 0.81(0.70–0.95) |
| 4th Quartile * | -- | -- |
| Cesarean | 0.16(0.15–0.17) | 0.14(0.13–0.15) |
| Length of Stay Per Day | 1.05(1.04–1.06) | 1.07(1.06–1.08) |
| Pre-Existing Comorbidity | ||
| Alcohol Abuse/Dependence | 1.51(1.23–1.86) | 0.89(0.67–1.17) |
| Drug Abuse /Dependence | 2.43(2.19–2.71) | 1.03(0.80–1.31) |
| Depression | 1.36(1.23–1.51) | 0.84(0.69–1.01) |
| Psychosis | 1.61 (1.38–1.87) | 1.09(0.84–1.41) |
| Anemia | 1.45 (1.36–1.55) | 1.12(0.96–1.31) |
| Coagulopathy | 1.43(1.26–1.62) | 1.02(0.79–1.32) |
| Heart Failure | 1.18(0.99–1.41) | 0.83(0.67–1.03) |
| Hypothyroidism | 0.87(0.77–0.98) | 0.98(0.81–1.18) |
| Seizure Disorder | 1.35 (1.15–1.57) | 0.88(0.70–1.09) |
| Obesity | 1.19(1.10–1.28) | 1.14(0.97–1.35) |
| Chronic Lung Disease | 1.61(1.49–1.75) | 1.06(0.91–1.22) |
| Chronic Hypertension | 1.20 (1.11–1.30) | 1.15(1.02–1.30) |
| Pre-gestational Diabetes | 1.08(0.98–1.21) | 0.80(0.61–1.05) |
| Delivery-Related Complications | ||
| Post-partum Hemorrhage | 3.01(2.73–3.31) | 1.88(1.54–2.29) |
| Preclampsia | 1.73(1.62–1.84) | 1.71(1.49–1.96) |
| Eclampsia | 3.46(1.76–6.80) | 2.79(0.64–12.23) |
| Transfusion | 1.47(1.27–1.70) | 0.88(0.65–1.19) |
CI = Confidence Interval OR = Odds Ratio
*=
referent group