The Cardiff postpartum family planning initiative: improving provision of postpartum contraception

Brammeier, Kathryn L.; Cutter, Judith; Cook, Sinead; Scherf, Caroline

doi:10.1136/bmjsrh-2017-101924

Cited by 3 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite 43% of respondents planning to use LARC, only 9% (118/1369) of this cohort actually received LARC prior to discharge. A recent Welsh initiative also identified staff availability as a key reason for not being able to fit any postpartum IUC in the initial period of study as planned 16. There have been no comparable studies published on services providing immediate postnatal contraception, including LARC, in England.…”

Section: Resultsmentioning

confidence: 99%

“…A qualitative US study of 32 multidisciplinary staff including obstetricians, sexual health doctors and nurses, lactation consultants, pharmacists, procurement, IT, finance, administration and management staff working across 10 hospitals in Georgia to establish immediate postnatal LARC programmes identified key barriers such as knowledge, cost, and competing clinical and administrative priorities 39. A recent Welsh initiative identified delays in equipment delivery and inconsistencies with data entry as non-clinical barriers to provision and analysis of service provision 16. A recent cross-sectional self-completed US survey of lactation consultants found that while 77% (137/177) offered advice about postnatal contraception and its impact on breastfeeding,40 the majority felt that the theoretical or proven risks outweighed the benefits or that there was an unacceptable health risk for the immediate use of progestogen-only methods if used within 21 days of delivery, contrary to the Medical Eligibility Criteria for Contraceptive Use 41.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Women’s and healthcare professionals’ views on immediate postnatal contraception provision: a literature review

Thwaites

Tran

Mann

2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

ObjectivesProvision of immediate postnatal contraception, including long-acting reversible contraceptive (LARC) methods, is increasingly identified and endorsed as a key strategy for reducing unplanned and rapid repeat pregnancies. This literature review aims to evaluatethe views of women and healthcare professionals regarding the receipt, initiation or delivery of these services.MethodsDatabases (Embase, Medline, CINAHL, HMIC) were searched for relevant English language studies, from January2003 to December 2017. In addition, Evidence Search, Google Scholar and Scopus (citation search) were used to identify further literature. Other relevant websites were accessed for policies, guidance and supplementary grey literature.ResultsThere is clear guidance on how to deliver good-quality postnatal contraception to women, but the reality of service delivery in the UK does not currently meet these aspirations, and guidance on implementation is lacking. The available evidence on the provision of immediate postnatal contraception focuses more on clinical rather than patient-centred outcomes. Research on postnatal women’s views is limited to receptivity to LARC and contraception counselling rather than what influences their decision-making process at this time. Research on views of healthcare professionals highlights a range of key systemic barriers to implementation.ConclusionsWhile views of postnatal women and healthcare professionals are largely in support of immediate postnatal contraception provision, important challenges have been raised and present a need for national sharing of service commissioning and delivery models, resources and evaluation data. Provider attitudes and training needs across multidisciplinary groups also need to be assessed and addressed as collaborative working across a motivated, skilled and up-to-date network of healthcare professionals is viewed as key to successful service implementation.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Women’s and healthcare professionals’ views on immediate postnatal contraception provision: a literature review

Thwaites

Tran

Mann

2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

“…Recent years have seen substantial progress in increasing PNC provision through coordinated programmes in the UK, particularly via maternity services 4–7. However, across the UK there is a long way to go to realising universal direct, convenient access to the full range of contraceptive methods for PNC, including long-acting reversible contraception (LARC) for eligible women desiring these methods 8.…”

Section: Introductionmentioning

confidence: 99%