The Ryan Residency Training Program
The Ryan Residency Training Program at Meriter hospital was developed to expand training for UW Ob-Gyn residents and to increase patient access in vulnerable populations in the immediate or early post‐partum period (<10 weeks). The program provides free LARC devices (Nexplanon, Mirena, and ParaGard), when placed by a trainee, to patients below 300% of the federal poverty level who have no insurance coverage for LARC at the time of placement. Vulnerable populations include adolescents (13 to 19 years old), women who need to prevent pregnancy due to significant medical complications, and women who need to prevent pregnancy due to significant social circumstances.
Patients who are eligible according to a LARC eligibility checklist will be informed by their provider about the Ryan LARC program at the 32 week visit, and interested parties will be asked to provide consent for participation at the 36 week visit. LARC devices are then placed by Ob-Gyn or Family Medicine residents or Certified Nurse Midwife students, under the supervision of attending physicians, either during the immediate post placental period (just after giving birth – Mirena and Paragard) or prior to discharge from the hospital (Nexplanon).
More information about LARC
Women who are interested in long acting reversible contraception (LARC) can talk to their primary care or Ob-Gyn providers, or contact any of our providers.
Health facts for you: the intrauterine devices (IUD)
ACOG LARC Program
UC-San Francisco Bixby Center LARC Project
Wisconsin Contraceptive Access Network (WI-CAN)
Wisconsin Contraceptive Care Summit
Selected research about LARC
Game change in Colorado: Widespread use of long-acting reversible contraceptives and rapid decline in births among young, low-income women (Ricketts, Klinger, & Schwalberg, 2014)
Advocating for immediate postpartum LARC: increasing access, improving outcomes, and decreasing cost (Rodriguez, Evans, & Espey, 2014)
Postpartum contraception in publicly-funded programs and interpregnancy intervals (Thiel de Bocanegra et al., 2013)
The Contraceptive CHOICE Project: Reducing barriers to long-acting reversible contraception (Secura et al., 2010)