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Grand Rounds: Improving Birth Outcomes: LARC and Birth Spacing 101


By Melissa LaManna and Elena Rossi, MD , Connecticut Children’s Medical Center, Hartford, CT

Objectives (Educational Content) :

1. Recognize the potential role of LARC methods in reducing unintended pregnancies. 2. List and compare the clinical effects and characteristics of LARC methods. 3. Examine the role of Birth Spacing in reducing premature births

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses.

Identified Gap:

Infant mortality continues to be high in Ohio and adequate birth spacing has been shown to decrease the risk of premature birth, the largest component of infant mortality. In a survey of Mahoning Valley providers in 205, 585 stated they discuss birth spacing with patients. Of clients in home visiting programs, 56% said they knew about birth spacing. Long Acting Reversible Contraceptives (LARC) remain underutilized and are the most effective contraceptives to prevent unintended pregnancies. Myths regarding eligibility, timing and population of LARC need to be addressed.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit ™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.