Developing the role of midwives as ‘contraceptive champions’ to support early access to effective postnatal contraception for women

Abstract

ObjectiveTo evaluate the acceptability of the new contraceptive champion role to the first hospital and community midwives in NHS Lothian trained in this role.DesignHealth service evaluation.PopulationHospital and community midwives trained as contraceptive champions, NHS Lothian, Scotland, UK.MethodsQualitative research: 1:1 semi-structured interviews (baseline and follow-up) with five contraceptive champions.Main outcome measureQualitative data on views of the new contraceptive champions on the first 6 months of the role.ResultsAll contraceptive champions stated increased confidence in their knowledge of postnatal contraception. They reported that women had not questioned the role of midwives in inserting contraceptive implants postnatally in hospital and at home. Midwife colleagues and hospital doctors had been supportive.ConclusionThe new role of contraceptive champion is reported by midwives to have been well received in its first year by women, the midwives themselves and their healthcare colleagues.

Evaluation of Couple's Sexual Function after Childbirth with the Biopsychosocial Model

“…[ 19 ] Women may have resumed sexual activity and ovulation six weeks after delivery, thus putting them at risk for another pregnancy. [ 37 ]…”

“…Recent guidance from the “Faculty of Sexual and Reproductive Healthcare” (FSRH) states that health care providers should ensure that all post-pregnancy women have access to a full range of effective contraceptive methods and are able to provide these immediately after delivery. [ 37 40 41 ]…”

Perceived barriers and opportunities of providing quality family planning services among Palestinian midwives, physicians and nurses in the West Bank: A qualitative study Authors’ details

“…This role is reinforced by the fact that midwives usually spend the longest time with women and hence can discuss the needs and requests of women in a culturally sensitive manner (40). The expanded role of trained midwives in the provision of postnatal LARC, like implants is usually positively received by women, midwives and their colleagues (41,42). On the other hand, some midwives raise concerns about expanding the scope of their practice due to insu cient training and burden of work overload (43).…”

Postpartum contraception in Australia: opportunities for increasing access in the primary care setting

“…There is also potential for midwives and nurses to undertake contraceptive implant insertions during home visits, which may be a convenient and more accessible option for many women in the postpartum period (Uhm et al 2016;Croan et al 2018). Contraceptive implant insertions during routine postnatal home visits has been found to be safe, feasible and acceptable to providers and women in international settings (Uhm et al 2016;Croan et al 2018;Gallimore et al 2019), with one UK study finding that 87% of women preferred to have the implant inserted at home and 100% recommending home insertion for others (Croan et al 2018). Further, despite being unable to use subdermal lidocaine for pain relief in the home setting due to the low risk of anaphylaxis, topical anaesthetic spray (ethyl chloride) has been shown to be a safe, effective and acceptable alternative to women (Croan et al 2018).…”

“…Further, despite being unable to use subdermal lidocaine for pain relief in the home setting due to the low risk of anaphylaxis, topical anaesthetic spray (ethyl chloride) has been shown to be a safe, effective and acceptable alternative to women (Croan et al 2018). Although the safety and acceptability of undertaking contraceptive implant insertions in home settings has been established internationally (Uhm et al 2016;Croan et al 2018;Gallimore et al 2019), feasibility and acceptability has not been explored in the Australian context.…”