ABSTRACT
Long-acting reversible contraception is the most highly effective, safe, cost-effective, and easily reversible contraceptive method with minimal side effects. Contraception should be planned during pregnancy and implemented as soon as possible and safely after delivery. This includes options for immediate postpartum initiation of many methods to decrease short-interval pregnancies. The risks of pregnancy, delivery, and abortion outweigh the risks of using contraception in most women. The intrauterine contraception devices and implants are considered long-acting reversible contraception and have become more popular and more available over the past several years. Combined oral contraceptive (COC) pills continue to be the most commonly used method among American women. They are a reliable method of contraception if used correctly and consistently. The primary mechanism of action of COCs is due to the progestin component, which results in ovulation suppression through negative feedback on the hypothalamic-pituitary system. Emergency contraception should be offered to all women who may be at risk of unintended pregnancy.
