Table 2. Qualitative themes of postpartum contraception nonuse reasons among PRAMS Phase VII (2012) respondents.

Theme	Examples	n
Affordability	“No insurance,” “My insurance doesn’t believe in birth control!,” “Too expensive”	67
Beliefs	“Religious reasons,” “I don’t believe in birth control,” “All God’s plan”	90
Breastfeeding		164
LAM*/No ovulation	“Breastfeeding exclusively,” “No menstruation due to breastfeeding,” “Nursing is a form of birth control”	100
Breastmilk Impact	“Birth control almost stopped my supply of Breastmilk,” “Chemicals/hormones breastfeeding”	31
Fertility Issues	“Took a really long time to get pregnant” “We used IVF”	197
Hysterectomy	“Womb removed,” “Hysterectomy after birth,” “Doctor took my uterus”	32
Office Barriers	“we were not informed,” “my doctor doesn’t prescribe birth control,” “signed up for it but still waiting”	56
Same-Sex Relationship	“female partner!,” “SAME-SEX PARTNER *maybe you should change your survey,” “I’m gay”	40
Situational Barriers	“I can’t find the right birth control,” “Haven’t had time,” “Stress,” “Transportation issues”	76
Medical Condition	“Blood pressure too high,” “Blood clot disorder,” “Can’t take hormonal due to certain meds”	36
Will Get a Method	“I am getting tubes tied,” “Waiting to get IUD put in,” “husband is scheduling a vasectomy”	115

*Lactation amenorrhea method.

IVF, in vitro fertilization; IUD, intrauterine device; PRAMS, Pregnancy Risk Assessment Monitoring System.