Contraceptive Counseling in the Postpartum Period: Could Pediatricians Have a Role?

Harris, Kari; Sivamurthy, Siddharthan; Mohiuddin, Hafsa; Gonzalez, Amanda; Bui, Thuy; Andrews, Kathryn; Cohen, Jessica; McConnell, Margaret; Ahlers-Schmidt, Carolyn R.

doi:10.1007/s10995-020-02947-x

Cited by 6 publications

(12 citation statements)

References 26 publications

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“…Of the 19 studies included in the QES (table 3), 15 were qualitative and four were mixed methods studies. Most (thirteen) were from the USA,33–45 three from the UK,46–48 two from Australia,49 50 and one from Canada 50. All of the studies included English-speaking participants; six studies34 35 37 38 40 43 also included Spanish-speaking women, and one study included Pashto or Urdu-speaking women 35.…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 describes the assessment of methodological limitations. No significant concerns were identified, besides a lack of reporting of researcher reflexivity across 17 of the papers 33–37 39–50. There were no concerns regarding coherence of findings.…”

Section: Resultsmentioning

confidence: 99%

“…Women reported receiving conflicting33 35 39 50 or incorrect36 37 39 50 information from healthcare providers regarding contraception and IPIs and felt unclear about the optimal IPI. Only two studies reported on women’s awareness of the health implications of shorter IPIs 35 39…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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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“…73 One study found that participants supported the idea of their child's pediatrician providing them with contraceptive counseling. 74 This strategy may be particularly helpful for parents whose health insurance coverage has expired at the end of their pregnancy but whose children continue to retain insurance coverage. Finally, telehealth could improve access to postpartum counseling while building rapport and trust.…”

Section: Equity In Postpartum Contraception Accessmentioning

confidence: 99%

“…Inclusion of contraceptive counseling with infant wellness visits may facilitate access for new parents who have not been able to attend their postpartum visit, either through a combined visit with an OB/GYN and a pediatrician or through training pediatricians to conduct postpartum contraceptive counseling 73. One study found that participants supported the idea of their child’s pediatrician providing them with contraceptive counseling 74. This strategy may be particularly helpful for parents whose health insurance coverage has expired at the end of their pregnancy but whose children continue to retain insurance coverage. Finally, telehealth could improve access to postpartum counseling while building rapport and trust.…”

Section: Introductionmentioning

confidence: 99%

Achieving Equity in Postpartum Contraception Access

McAllister

Christensen

Dixit

et al. 2022

Clinical Obstetrics &Amp; Gynecology

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Equitable access to contraception and contraceptive education has the potential to mitigate health disparities related to unintended pregnancy. Pregnancy and the postpartum window frequently offer reduced insurance barriers to healthcare, increased interaction with healthcare systems and family planning providers, and an opportune time for many individuals to receive contraception; however, there are additional considerations in method type for postpartum individuals, and contraceptive counseling must be thoughtfully conducted to avoid coercion and promote shared decision-making. This commentary reviews method-specific considerations and suggests priorities for achieving equity in postpartum contraceptive access.

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Mi Familia Entera: Contraceptive Use Among Spanish-Speaking Mothers of Young Children

Caballero

Delgado

et al. 2021

Matern Child Health J

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Contraceptive Counseling in the Postpartum Period: Could Pediatricians Have a Role?

Cited by 6 publications

References 26 publications

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

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

Achieving Equity in Postpartum Contraception Access

Mi Familia Entera: Contraceptive Use Among Spanish-Speaking Mothers of Young Children

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