Experiences with Prenatal and Postpartum Contraceptive Services among Women with a Preterm Birth

Bocanegra, Heike Thiel de; Kenny, Jazmine; Sayler, Kristina; Turocy, Mary J.; Ladella, Subhashini

doi:10.1016/j.whi.2019.11.002

Cited by 7 publications

(9 citation statements)

References 24 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%

“…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. The perspective of Australian Aboriginal women was explored in one study 49…”

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%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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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“…A recent qualitative survey of postpartum people with a preterm birth explored contraceptive use and understanding of birth spacing [8 ▪▪ ]. Principally, fewer than half of interviewed postpartum people could recall why birth spacing was important.…”

Section: Modifiable Risk Factors For Morbidity In the Interpregnancy ...mentioning

confidence: 99%

Optimizing postpartum contraception for high-risk obstetric patients

Miller

Darmawan²,

Henkel

2022

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewThis review will focus on those who are at greatest risk of maternal and neonatal morbidity from a subsequent unplanned or short interval pregnancy and the interventions to increase contraceptive uptake in the postpartum period. Recent findingsPopulations at highest risk of maternal or neonatal morbidity --those with a history of preterm birth or those with complex medical conditions --are also those at the highest risk for unintended pregnancies attributed to low-efficacy contraceptive failure/ noncontraceptive use, and many are discharged from birth hospitalization without understanding the importance of birth spacing related to their high-risk pregnancies. Current innovative strategies to improve postpartum contraception access and uptake among high-risk populations include utilizing the antenatal period to initiate contraception counseling, developing multidisciplinary teams, and incorporating multimedia-based educational tools. However, ongoing challenges that continue to pose barriers to contraception access include racial and economic disparities and the restructuring of obstetric care during the COVID-19 pandemic.

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Preterm Birth and Receipt of Postpartum Contraception Among Women with Medicaid in North Carolina

Tucker

Berrien

Menard

et al. 2020

Matern Child Health J

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Experiences with Prenatal and Postpartum Contraceptive Services among Women with a Preterm Birth

Cited by 7 publications

References 24 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

Optimizing postpartum contraception for high-risk obstetric patients

Preterm Birth and Receipt of Postpartum Contraception Among Women with Medicaid in North Carolina

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