Abstract
Postpartum Contraception Acceptance and Readiness for Long Acting Reversible Contraception [40I]
Obstetrics and gynecology (New York. 1953), Vol.129 Suppl 1(1), pp.102S-103S
05/2017
DOI: 10.1097/01.AOG.0000515620.10097.ab
Abstract
INTRODUCTION:Determine the optimal time to discuss and formulate a plan for postpartum contraception by using motivational interviewing and stages of change. Determine responses associated with uptake and adherence to long acting reversible postpartum contraception (LARC).
METHODS:Adult women between gestational ages of 25 0/7 and 35 6/7 weeks seeking prenatal care and plans to delivery at our facility were offered to participate in the study. Subjects completed surveys querying readiness, capability and confidence in discussing and committing to a postpartum contraceptive plan at a single prenatal visit and again during their postpartum hospitalization. Subjects received a phone survey at 4–6 months postpartum.
RESULTS:243 women recruited from February to July 2015. 63% of patients responded the best time for contraception discussion was the 2nd or 3rd trimester; 90% planned to start contraception after delivery. More women reported prenatally and postpartum that they felt capable to choose LARC (85% v. 87%; P < .0001) compared to other forms of contraception. Additionally more women reported prenatally and postpartum that they felt ready to choose LARC as their postpartum contraception (74% v. 84%; P < .0001) compared again to other forms of contraception. Women who reported being more ready or capable were more likely to choose LARC and to be using that method at 4–6 months postpartum.
CONCLUSION:Women report higher levels of readiness and capability to choose and discuss contraception postpartum than prenatally, however, high rates were seen throughout. More women choose LARC when they endorse readiness, confidence and capability to choose a contraceptive option.
Details
- Title: Subtitle
- Postpartum Contraception Acceptance and Readiness for Long Acting Reversible Contraception [40I]
- Creators
- Heather Williams - University of Iowa Hospitals and Clinics, Iowa City, IALindsay GoadMacKenzie TreloarRachel MejiaColleen StockdaleAbbey Hardy-Fairbanks
- Resource Type
- Abstract
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.129 Suppl 1(1), pp.102S-103S
- Publisher
- by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved
- DOI
- 10.1097/01.AOG.0000515620.10097.ab
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984317113202771
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