A qualitative analysis of postpartum contraceptive choice

Booth, Kathleen; Sundstrom, Beth; DeMaria, Andrea L.; Dempsey, Angela

doi:10.1080/17538068.2018.1477445

Cited by 4 publications

(4 citation statements)

References 40 publications

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“…These decisions were reinforced by frustrations held about lockdown restrictions on personal freedoms. Rationalisation of breaking guidelines may be explained by cost-benefit analysis [39]. Extended periods of social isolation led to greater negative affect i.e., an increase in perceived barriers to maintaining adherence with social distancing guidelines, which may in turn increase the perceived benefits of breaking guidelines [40].…”

Section: Discussionmentioning

confidence: 99%

Postpartum women’s psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis

Jackson

Pascalis

Harrold

et al. 2021

BMC Pregnancy Childbirth

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Background COVID-19 has placed additional stressors on mothers during an already vulnerable lifecourse transition. Initial social distancing restrictions (Timepoint 1; T1) and initial changes to those social distancing restrictions (Timepoint 2; T2) have disrupted postpartum access to practical and emotional support. This qualitative study explores the postpartum psychological experiences of UK women during different phases of the COVID-19 pandemic and associated ‘lockdowns’. Methods Semi-structured interviews were conducted with 12 women, approximately 30 days after initial social distancing guidelines were imposed in the UK (22 April 2020). A separate 12 women were interviewed approximately 30 days after the initial easing of social distancing restrictions (10 June 2020). Data were transcribed verbatim, uploaded into NVivo for management and analysis, which followed a recurrent cross-sectional approach to thematic analysis. Results Two main themes were identified for T1: ‘Motherhood is Much Like Lockdown’ and ‘A Self-Contained Family Unit’. Each main T1 theme contained two sub-themes. Two main themes were also identified for T2: ‘Incongruously Held Views of COVID-19’ and ‘Mothering Amidst the Pandemic’. Each main T2 theme contained three sub-themes. Comparisons between data gathered at each timepoint identified increased emotional distress over time. Current findings call for the improvement of postpartum care by improving accessibility to social support, and prioritising the re-opening of schools, and face-to-face healthcare appointments and visitation. Conclusion Social distancing restrictions associated with COVID-19 have had a cumulative, negative effect on postpartum mental health. Recommendations such as: Allowing mothers to ‘bubble’ with a primary support provider even at their healthcare appointments; allowing one support partner to attend all necessary healthcare appointments; and providing tailored informational resources, may help to support postpartum emotional wellbeing during this, and similar health crises in the future.

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Section: Discussionmentioning

confidence: 99%

Postpartum women’s psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis

Jackson

Pascalis

Harrold

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Most women found the advice and experience of contraception provided by friends and/or family to be highly influential 32 34 35 42 50. Some preferred these sources over professional medical advice as they felt greater comfort sharing personal information, and trusted families not to have ulterior motives such as pharmaceutical sponsorship 32 50. However, some women found discussions with friends or family ‘uncomfortable’ or ‘frivolous’, and questioned the accuracy of information 49.…”

Section: Resultsmentioning

confidence: 99%

“…Two review authors (GFS, GSL) used the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess confidence in each finding,27–31 based on methodological limitations of studies,28 coherence of the review findings,29 adequacy of the data contributing to a review finding,31 and relevance of the included studies to the review question 32. After assessing each component, a judgement was made about the overall confidence in the evidence supporting the review finding.…”

Section: Methodsmentioning

confidence: 99%

Understanding women’s views of and preferences for accessing postpartum contraception: a qualitative evidence synthesis

Freeman-Spratt

Botfield

Lee

et al. 2023

BMJ Sex Reprod Health

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BackgroundNearly half of women experience unintended pregnancies. These are associated with increased risk of poor maternal physical and psychosocial health outcomes. Many pregnancies in the first year postpartum are unintended, further increasing risks of poor outcomes and complications. We undertook a qualitative evidence synthesis to evaluate qualitative research on women’s views and preferences for accessing postpartum contraception, and identify evidence gaps and opportunities for postpartum contraception provision.MethodsFive databases were searched to identify relevant qualitative studies. Included studies focused on views of, and preferences for, accessing postpartum contraception for women of reproductive age in high-income countries.ResultsOf 1854 studies identified, 28 full texts were assessed and 19 studies included. These were critically appraised using Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) and analysed using thematic synthesis. Included studies indicated the majority of women desire postpartum contraception, but face a range of financial, health system and personal barriers. Women felt unclear about the ideal interpregnancy interval (IPI) and the rationale for this. Women preferred contraceptive counselling at varying times both antenatally and postnatally, and commonly preferred to receive contraception in the immediate postpartum period before hospital discharge. Women commonly saw their obstetrician or general practitioner for contraceptive counselling, but welcomed midwifery involvement.ConclusionsMost women were interested in postpartum contraception and pregnancy spacing, but felt unclear about the optimal IPI, highlighting the need for further education and support around this issue. Contraceptive counselling was viewed as valuable antenatally and postnatally, and by varying maternal health providers, as was the provision of immediate postpartum contraception.

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“…Subsequently to the determination of the method, research points to the seriousness in addressing information essential to the understanding of women about the mechanics related to the contraceptive. It must emphasize that the elucidation of mechanisms of action, adverse effects, and absorption of doubts should be broad and patiently inserted in the context of instructive counseling (6,(23)(24)(25)(28)(29)(30) .…”

Section: Cluster Controlled Randomized Prospective 758 Women 28 Profe...mentioning

confidence: 99%

Woman-centered shared decision-making to promote contraceptive counseling: an integrative review

et al. 2022

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Objective: To summarize scientific evidence on the woman-centered shared decision-making process for the promotion of contraceptive counseling. Methods: Integrative literature review with a sample of nine primary articles selected from MEDLINE via PubMed, CINAHL, Web of Science, Scopus, ScienceDirect, Embase, LILACS, and BDENF. Results: The study evidenced a comprehensive chain of segments for the development of the shared approach centered on women through counseling on contraception, fragmenting the evidence acquisition in relational elements for the choice implementation and continuation of the chosen method; systematization of consistent information for choice implementation and continuation of the method; and challenges for implementing shared decision-making. Final considerations: The process of woman shared decision-making centered during the consultation on contraception counseling favors the qualified choice and effective adherence to a contraceptive method based on the professional’s clinical vision adjusted to the woman’s preferences.

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A qualitative analysis of postpartum contraceptive choice

Cited by 4 publications

References 40 publications

Postpartum women’s psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis

Postpartum women’s psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis

Understanding women’s views of and preferences for accessing postpartum contraception: a qualitative evidence synthesis

Woman-centered shared decision-making to promote contraceptive counseling: an integrative review

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