Who gives advice about postpartum contraception?

Glasier, Anna; Logan, Janet; McGlew, Tom

doi:10.1016/0010-7824(96)00040-6

Cited by 66 publications

(46 citation statements)

References 3 publications

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“…The cursory nature of postnatal contraceptive advice was noted by Glasier et al in 1996, and noted again by our participants in 2013 (Glasier, Logan and McGlew, 1996). The finding that a high proportion of students limited their advice to "general advice only" suggests that lack of confidence in their contraceptive knowledge results in failure to address the need for more specific advice on contraceptive safety, and effects of contraception on breastfeeding, which arise in the post-natal setting.…”

Section: Discussionmentioning

confidence: 67%

Knowledge and reported confidence of final year midwifery students regarding giving advice on contraception and sexual health

Walker

Davis

2014

Midwifery

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Objective: This project explored the views of three cohorts of final year midwifery students, regarding their confidence in giving advice to women on contraception and sexual health in the postnatal period. The project also investigated knowledge of contraception using a factual quiz, based on clinical scenarios regarding contraception and sexual health in the post-partum period.Design: A mixed method design using qualitative data from focus groups, and mixed qualitative and quantitative data from a paper based questionnaire was used. Setting:The project was carried out in one higher educational institution in England. Findings: Findings demonstrate that expressed confidence varies according tocontraceptive method, with most confidence being reported when advising on the male condom. The findings of the factual quiz indicate that students applied theoretical knowledge poorly in a practically oriented context. These findings also indicated that most students limited advice to general advice. Key Conclusions:The paper concludes that midwifery students need more practically oriented education in contraception and sexual health, and that the role of mentors is very important in helping students feel confident when giving advice in this area.

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Section: Discussionmentioning

confidence: 67%

Knowledge and reported confidence of final year midwifery students regarding giving advice on contraception and sexual health

Walker

Davis

2014

Midwifery

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“…Research from our maternity service in Lothian, Scotland over 16 years ago, showed that postnatal discussion about contraception was often cursory, that obstetricians had little interest in contraception, and that the discussion was usually with the midwife 10. More recent evidence suggests that contraceptive advice given to mothers in the UK continues to be of poor quality, since a nationwide survey of mothers reported that women were highly dissatisfied with the current provision of postnatal contraception 11.…”

Section: Introductionmentioning

confidence: 99%

Midwives’ experiences and views of giving postpartum contraceptive advice and providing long-acting reversible contraception: a qualitative study

McCance

Cameron

2014

J Fam Plann Reprod Health Care

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BackgroundNational sexual health frameworks in the UK advise that women in maternity units who are at risk of unintended pregnancy should receive contraceptive advice and supplies of the most effective long-acting reversible methods of contraception (LARC). In the UK, midwives currently deliver contraceptive advice to women following childbirth. There is a lack of information on how midwives currently view their role as provider of contraceptive advice and how they would feel about expanding this to include provision of LARC.ObjectiveTo explore midwives’ experiences and views of giving postpartum contraceptive advice and of possible expansion of role to include provision of LARC.MethodsSemi-structured, audio-recorded interviews were carried out with 12 midwives involved in the postpartum care of women in Edinburgh, Scotland, UK. Interviews were transcribed verbatim and analysed using thematic analysis.ResultsMidwives confirmed that they all routinely give contraceptive advice but that this was mostly cursory. They viewed this part of their job as of lesser importance and one that they felt inadequately trained for. Many barriers to discussing contraception were identified including lack of time and privacy, or mothers being preoccupied with concerns about their baby. Midwives expressed concern about taking on a greater role in giving contraceptive advice or providing LARC, given their current heavy workload.ConclusionsMidwives require ongoing training and support to be effective in their current role as provider of contraceptive advice. Better links between midwifery and specialist sexual and reproductive health services should therefore be encouraged, particularly if a midwife's role is expanded to include provision of contraception such as LARC.

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“…Patients with a low level of trust in their healthcare provider have been found to have lower use of recommended preventive services and are less likely to comply with physician recommendations relative to patients with greater patient/ healthcare provider trust. 18 Glasier et al 19 suggested postpartum contraception options should not be discussed in the hospital; instead, they should be discussed in the antenatal period. These recommendations are also supported by the American Congress of Obstetricians and Gynecologists.…”

Section: Discussionmentioning

confidence: 98%

The Discordance Between Planned Use and Actual Receipt of Immediate Postpartum Depot Medroxyprogesterone Among Low-Income Women

Brownell

et al. 2014

Breastfeeding Medicine

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Clinically, it is unclear if the immediate postpartum period is the appropriate time to obtain consent and administer a long-acting contraceptive method. In our sample, women accurately recalled receiving DMPA in the immediate postpartum period. However, the majority did not plan to use this contraceptive method. Further high-quality qualitative and quantitative research regarding women's contraceptive plans and perception of the postpartum DMPA consent process and the healthcare provider's attitudes regarding consent and prescription of immediate postpartum DMPA are warranted.

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Who gives advice about postpartum contraception?

Cited by 66 publications

References 3 publications

Knowledge and reported confidence of final year midwifery students regarding giving advice on contraception and sexual health

Knowledge and reported confidence of final year midwifery students regarding giving advice on contraception and sexual health

Midwives’ experiences and views of giving postpartum contraceptive advice and providing long-acting reversible contraception: a qualitative study

The Discordance Between Planned Use and Actual Receipt of Immediate Postpartum Depot Medroxyprogesterone Among Low-Income Women

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