Are Adolescents as Likely as Older Women to Receive Immediate Post-Partum Contraception in Mexico?

Blair G. Darney, Oregon Health & Science University
Sandra Sosa-Rubi, Instituto Nacional de Salud Pública (INSP)
Edson Sevran-Mori, Instituto Nacional de Salud Pública (INSP)
Maria I. Rodriguez, World Health Organization (WHO)
Dilys Walker, University of California, San Francisco
Rafael Lozano-Ascencio, Instituto Nacional de Salud Pública (INSP)

The immediate post-partum (PP) period is a crucial opportunity to prevent rapid repeat pregnancy in adolescents. We used 2012 population-based data with a newly available item on PP contraception prior to leaving place of delivery and multivariable methods to test the association of receipt of PP contraception with age and place of delivery in Mexico. Overall, 57% of women received a method (N= 7,156; population N = 10,006,947). Age was not significantly associated with receipt of any PP method, controlling for covariates. Public facilities had lower odds of receipt of a method (OR = 0.57; CI 0.44 – 0.73) compared with employment-based insurance facilities. We estimate 59% of adolescents leave place of delivery with a method, and 55% of all women at public facilities, controlling for all covariates. Adolescents receive PP contraception as often as older women and place of delivery is a key driver of receipt of PP contraception.