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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Cynthia Elverson


Introduction: Unintended pregnancies continue to be a prominent and significant healthcare concern as they are linked to negative social, financial, and personal implications for both women and children. As supported by the American College of Obstetricians and Gynecologists (ACOG), immediate postpartum (IPP) longacting reversible contraception (LARC) is a safe and effective method to reduce unintended pregnancies and to better meet women’s family planning goals. Methods: This review of literature identified multiple resources that support ACOG’s recommendations to offer IPP LARCs to all women, with the exception of a few contraindications. Successful implementation of IPP LARC programs is complex and requires collaboration among multiple disciplines with the inclusion of nurses. Nurses, as a core component of the healthcare team, have an integral role in patient care and education, thus increasing access to IPP LARCs.
Gaps: However, there is a prominent gap in the literature concerning nurse’s knowledge, attitudes, and practices regarding IPP LARCs.
Practice: Parallel to ACOG’s recommendation, LARCs should be routinely offered in the IPP period. An IPP LARC nurse initiative is a dominant strategy to achieve ACOG’s recommendation as nurses have a large impact on the delivery of healthcare services.

Library of Congress Subject Headings

Birth control.
Nursing -- Practice.
Nurses -- Attitudes.

Number of Pages



South Dakota State University


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