M135 Effect of Antepartum Counseling on Postpartum Contraceptive Choices

Correia, Lúcia; Marujo, Ana Teresa; Oliveira, Natacha; Vasconcelos, Camila Teixeira Moreira; Machado, AI

doi:10.1016/s0020-7292(12)61329-0

Cited by 1 publication

(2 citation statements)

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“…42 For all these reasons, antepartum contraception counseling is vital to postpartum contraceptive usage. [15][16][17][18][19][20][21][22][23] While this study captures a large sample size of diverse women including both high-and low-risk women, there are some limitations. First, the survey data are self-reported with potential for recall bias.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of studies have demonstrated that antepartum contraceptive counseling increases postpartum contraceptive uptake and uptake of more effective contraceptive methods, [15][16][17][18][19][20][21][22][23] although some authors have found no impact. 24 Women also perceive the best timing for contraceptive education to occur is both antepartum, through frequent short episodes of counseling, and postpartum.…”

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confidence: 99%

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Antepartum Contraceptive Counseling in Women with Preterm Birth

Toscano

Dye

et al. 2019

Amer J Perinatol

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Objective To compare rates of antepartum contraceptive counseling among women with preterm birth (PTB) and term birth. Study Design This is a retrospective cohort study of patients with completed delivery records in New York from January 1, 2004, to December 31, 2014. Exposure was determined based on the timing of delivery. Exposed women delivered at <37 weeks, and nonexposed women delivered at ≥37 weeks. Primary outcome was patient response to questions regarding receipt of prenatal contraceptive counseling (PCC) by a health care provider. Secondary outcome was receipt of interpregnancy interval counseling. Chi-square tests and multivariate logistic regression were used for analysis. Results Of 724,723 delivery records, PTB rate was 7.9%. Women with PTB < 37 weeks were significantly less likely to receive PCC (odds ratio [OR]: 0.9; 95% confidence interval [CI]: 0.89–0.93) or interpregnancy interval counseling (OR: 0.95; 95% CI: 0.94–0.97). The primary outcome remained significant after adjusting for confounders (adjusted OR: 0.91; 95% CI: 0.89–0.93). PTB < 34 weeks was associated with even lower odds of receiving contraceptive counseling (OR: 0.79; 95% CI: 0.76–0.83). Conclusion Postpartum contraception is an important tool for the prevention of recurrent PTB. Antepartum contraception counseling increases postpartum contraceptive uptake. Women with PTB have less exposure to antepartum contraceptive counseling. Lack of adequate counseling and decreased uptake of postpartum contraception may impact future pregnancy outcomes.

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