Contraception after childbirth in the UK: beyond the COVID-19 pandemic

Cooper, Michelle; Free, Caroline; Cameron, Sharon

doi:10.1136/bmjsrh-2021-201310

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Therefore, comprehensive education spanning from prenatal care to postpartum care regarding the imperative nature of contraceptives becomes essential. 24,26 This study highlights the consistent provision of postpartum Intrauterine Device (IUD) services at Sebelas Maret University Hospital. Factors such as educational level, history of antenatal care, and prior contraceptive usage are influential in determining the adoption of postpartum contraceptive methods.…”

Section: Discussionmentioning

confidence: 88%

“…Hence, it is imperative to provide comprehensive education regarding the importance of contraceptives during both antenatal and postpartum care. 24,26 This study observed the successful performance of postpartum tubectomy procedures at Sebelas Maret University Hospital. The effectiveness of these procedures may be influenced by various factors such as the individual's educational background, utilization of antenatal care, and history of contraceptive use.…”

Section: Discussionmentioning

confidence: 97%

“…Health facilities can be strengthened by using digital medical devices to reach women's homes and encourage them to use contraceptives without having to visit the crowded health facilities. 24 This study included 57 patients (54%) who had a history of lower level of education and 115 patients (49%) who had a history of higher levels of education. This result contrasts with a study that describe women who had completed higher education had 2.8 times greater odds of using contraceptives (AOR=2.800; 95% CI=2.181-3.594) than those who had not completed any formal education.…”

Section: Discussionmentioning

confidence: 99%

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Impact of COVID-19 Pandemic on Postpartum Contraceptives Method Choice (IUD vs Tubectomy) and Characteristic Aspects: A Retrospective Descriptive Study

Asih Anggraeni,

Siagian,

Nurinasari

et al. 2024

Indones J Obstet Gynecol

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Objective: This study aims to assess the impact of the COVID-19 pandemic on postpartum contraceptive methods. Methods: This retrospective descriptive study was conducted at a single secondary center, utilizing secondary data retrieved from medical records at the Inpatient Installation of Sebelas Maret University Hospital, Surakarta, covering the period from January 2020 to January 2022. Results: Among users of intra-uterine devices (IUDs), 85% were below 35 years old, 65% were primiparous, 67% had a history of previous injectable contraceptive use, 79% received routine antenatal care, and 51% had education below a college level. These individuals were educated about the importance of contraceptive programs during the COVID-19 pandemic. Sixty-six percent of IUD insertions were conducted via vaginal delivery, and 27% had health facilities within less than 1 km. In contrast, tubectomy contraceptive users comprised 106 patients, with the majority (54%) being aged 35 years or older, all being multiparous, and 25% tested positive for COVID-19. Among tubectomy users, 43% had a history of previous injectable contraceptive use, 85% received routine antenatal care, and 54% had education below a college level. Similar to the IUD group, they were educated about the significance of contraceptive programs during the COVID-19 pandemic. Eighty-four percent of tubectomies were performed via cesarean section, and 27% of patients lived within less than 1 km from health facilities. Conclusion: The usage rates of intra-uterine devices and tubectomy for contraceptives remained stable during the COVID-19 pandemic. However, there was a decrease in postpartum in-person visits and mobility, coupled with an increase in hospitalizations.Keywords: contraceptive; family planning; intrauterine device; tubectomy

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Impact of COVID-19 Pandemic on Postpartum Contraceptives Method Choice (IUD vs Tubectomy) and Characteristic Aspects: A Retrospective Descriptive Study

Asih Anggraeni,

Siagian,

Nurinasari

et al. 2024

Indones J Obstet Gynecol

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Expanding access to postpartum contraception

Cooper,

Black,

Cameron

2024

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Women are particularly vulnerable to unintended pregnancy in the 12 months following a birth. Improving access to postpartum contraception within maternity settings can prevent unintended and closely spaced births, improving the health of mother and child. This review will summarize the recent research in postpartum contraception (PPC), building on existing knowledge and developments in this field. Recent findings Current models of postpartum contraceptive provision may not adequately meet women's needs. The COVID-19 pandemic led to changes in postpartum contraceptive provision, with an increasing emphasis placed on maternity services. Antenatal contraceptive discussion is associated with increased postpartum contraceptive planning and uptake of methods after birth. Digital health interventions may be a useful tool to support information about contraception. The most effective long-acting reversible contraceptive (LARC) methods, such as the intrauterine device (IUD) and implant, can be challenging to provide in the maternity setting because of availability of trained providers. Postpartum IUD insertion remains relatively under-utilized, despite evidence supporting its safety, efficacy and cost-effectiveness. Summary Antenatal information needs to be partnered with access to the full range of methods immediately after birth to reduce barriers to PPC uptake. Training and education of maternity providers is central to successful implementation of PPC services.

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Health care professionals’ views on a new postpartum contraception audiovisual animation: a survey

Simpson,

Cooper,

Cameron

2024

BMJ Sex Reprod Health

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BackgroundThe postpartum period is a high-risk time for unintended pregnancy. We developed a 2-minute audiovisual animation on postpartum contraception (PPC) including the return of fertility after birth for patients. The aim of our study was to determine the views of healthcare professionals (HCPs) involved in pregnancy care on the animation and to identify facilitators and barriers to its implementation into routine pregnancy care pathways.MethodsAn anonymous online questionnaire was circulated to 100 HCPs (midwives, doctors, health visitors) in Glasgow, Scotland, UK who provide antenatal and/or postnatal care. The aim was to collect 50 responses. The questionnaire contained 12 questions including fixed responses, categorical Likert rating scale questions and open-ended questions. Content analysis was used for the free-text responses.ResultsForty-four responses were obtained. HCPs rated the animation positively for information and inclusivity (95%), accessibility for those with a disability (81.8%) and non-English speaking (59%), and usefulness for HCPs (88.6%) and pregnant individuals (97%). Some felt the animation should contain more information or could be displayed on digital screens in clinical waiting areas. Suggestions were made as to the optimal time to view the animation in pregnancy and the importance of choice of whether/how to view and considerations on trauma-informed care. Accessibly for HCPs was mentioned, with considerations on how the resource could alleviate perceived service and financial pressures.ConclusionsThe animation was felt to be an engaging, inclusive and informative knowledge tool for patients. Consideration needs to be given to allow choice to view, timing and the appropriate digital media for delivering it.

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Contraception after childbirth in the UK: beyond the COVID-19 pandemic

Cited by 3 publications

References 10 publications

Impact of COVID-19 Pandemic on Postpartum Contraceptives Method Choice (IUD vs Tubectomy) and Characteristic Aspects: A Retrospective Descriptive Study

Impact of COVID-19 Pandemic on Postpartum Contraceptives Method Choice (IUD vs Tubectomy) and Characteristic Aspects: A Retrospective Descriptive Study

Expanding access to postpartum contraception

Health care professionals’ views on a new postpartum contraception audiovisual animation: a survey

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