A Novel Approach to Postpartum Contraception Provision Combined with Infant Care: A Randomized, Controlled Trial

Haider, Sadia; Stoffel, Cynthia; Rankin, Kristin; Uesugi, Keriann; Handler, Arden; Caskey, Rachel

doi:10.1016/j.whi.2019.12.001

Cited by 14 publications

(18 citation statements)

References 30 publications

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“…On the 3rd control visit after 6 months, pain (8%) was the most frequent complaint, followed by heavy menstrual bleeding (4%) and discharge (4%). In most studies, including the present study, pelvic pain and excessive [8], the absence of thread was observed in 14.54% of cases. A comparatively higher percentage of missing threads -about 30% and 35.45% -was found in the Dikke G. B. study [3].…”

Section: Discussionsupporting

confidence: 47%

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Clinical And Laboratory Results Of Intrauterine Device Cu T 380 A Intrauterine System Intraoperative Injection

Azizovna¹,

Boltaevich²

2020

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Effective and safe contraceptive methods not only prevent unplanned pregnancies and their termination, but also make it possible to fully restore the mother's body after surgery to carry out the necessary pre-pregnancy preparation. The goal of the study was to evaluate the clinical outcome of postplacental administration of Cu T 380 A in women during a caesarean section. The study was conducted at Samarkand Maternity Hospital No. 2 to assess the clinical outcome of postplacental administration of Cu T 380 A in women during caesarean section. The present study showed that there were no serious complications and only minor side effects such as pain, fever, bleeding and irregular bleeding, which were observed only in some women during the hospital stay and the control visit in the first 6 months. The determination of vaginal BMW tendrils was made possible in 72.12% of women during the control visit after 6 weeks. The visibility of the tendrils increased over time and after 6 months they were seen in 90.81% of cases. Exposure frequency was 2 cases (4%) and another 2 women (4%) required removal of the PMTCT for various reasons, resulting in a 92.3% retention rate six months after contraception. No cases of pregnancy were registered. Post-placental introduction of BIC Cu T 380 A during a C-section is a practical, convenient, safe, effective and acceptable contraceptive method.

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Section: Discussionsupporting

confidence: 47%

“…None of the patients needed to stay longer than 7 days. Haider S. et al [8] also reported that 94.33% of women had been in hospital for more than four days. The most frequent complaints at the first observation after 6 weeks were pelvic pains (12%) followed by vaginal discharge (6%) and bleeding (4%).…”

Section: Discussionmentioning

confidence: 96%

Clinical And Laboratory Results Of Intrauterine Device Cu T 380 A Intrauterine System Intraoperative Injection

Azizovna¹,

Boltaevich²

2020

tajmspr

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“…Maternal depression screening at the WBV is already a reimbursable service through the child's Medicaid 20 . In addition to depression screening at the WBV, family practice practitioners 21 and other practitioners 3 have begun to introduce additional screening tools at the WBV to address women's health needs including smoking cessation, folic acid supplementation, and contraception 21‐24 . Research has already demonstrated that women and physicians are receptive to colocating maternal contraception services with pediatric care 3,11,23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition to depression screening at the WBV, family practice practitioners 21 and other practitioners 3 have begun to introduce additional screening tools at the WBV to address women's health needs including smoking cessation, folic acid supplementation, and contraception 21‐24 . Research has already demonstrated that women and physicians are receptive to colocating maternal contraception services with pediatric care 3,11,23,24 . Delivery of some aspects of women's health care in conjunction with the WBV is not meant to supersede the postpartum visit with a woman's prenatal care practitioner; however, for women who are not able to access their own PP care, the WBV practitioner can screen for women's health needs and appropriately refer back to the prenatal care/postpartum practitioner or other practitioners as needed.…”

Section: Discussionmentioning

confidence: 99%

A two‐generation approach to postpartum care: Building on the well‐baby visit

Handler

Bergo

Dominik

et al. 2021

Birth

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Background Although postpartum (PP) care is essential for the health and well‐being of women and their infants, many women in the United States do not receive PP care. In order to ensure that women's PP needs are met, it is essential to develop delivery models that address their barriers to care. The objective of the current study was to obtain women's feedback and perspectives about delivering women's health care at the well‐baby visit (WBV) using a modified mixed‐methods approach including open‐ended interviews and surveys. Methods Twenty brief open‐ended interviews were conducted with PP women at a large urban medical center in Chicago. The interviews were recorded, transcribed, and coded following a mixed deductive and inductive approach and analyzed using Dedoose. Following the interview analysis, surveys with 50 immediate PP women and 50 who were 2‐4 months PP were conducted. Statistical analyses included frequencies and chi‐square tests to determine differences between participants interviewed at the two time periods. Results Key themes that emerged from the open‐ended interviews include the tension between the desire for continuity of care (prenatal to PP) and the desire for convenient care. The surveys found that 86%‐94% of women would be interested in receiving PP care at the same clinic site and time as their new baby. Conclusions One approach to addressing women's PP health and need for convenient care is the provision of components of women's health care at the WBV. Therefore, we present an innovative two‐generation model for PP care focusing on needs of both the woman and infant.

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“…As such, the WBV is increasingly acknowledged as a site of care where maternal health issues can be identified and addressed. [20][21][22] The objective of this study was to test the impact of an innovative system-level intervention in which PP women completed a brief self-administered Postpartum Questionnaire for Mothers (PQM) during their infants' 2-month pediatric visit, on subsequent receipt of primary health care and contraception by 6 months PP, compared with usual care.…”

Section: Introductionmentioning

confidence: 99%

Addressing Women's Health Care Needs During Pediatric Care

Caskey

Olender

Zocchi

et al. 2021

Women's Health Reports

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Objective: To determine if the use of a simple self-administered Postpartum Questionnaire for Mothers (PQM) at the well-baby visit (WBV) increased the proportion of women who received health care and contraception by 6 months postpartum (PP). Methods: This was a single-site, system-level, intervention. Women were recruited from the pediatric clinic when presenting with their infants for a 2-month WBV. During phase 1 of the study, a control group was enrolled, followed by an 8-week washout period; then enrollment of the intervention group (phase 2). During phase 2, the PQM was administered and reviewed by the pediatrician during the infant's visit; the tool prompted the pediatrician to make a referral for the mother's primary or contraceptive care as needed. Data were collected at baseline and at 6 months PP, and additional data were extracted from the electronic medical record. Results: We found that PP women exposed to the PQM during their infant's WBV were more likely to have had a health care visit for themselves between 2 and 6 months PP, compared with the control group (relative risk [RR] 1.66, [confidence interval (CI) 0.91-3.03]). In addition, at 6 months PP, women in the intervention group were more likely to identify a primary care provider (RR 1.84,), and more likely to report use of long-acting reversible contraception (LARC) (RR 1.24, [CI 0.99-1.58]), compared with women in the control group. Conclusion: A simple self-administered PQM resulted in an increase in women's receipt of health care and use of LARC by 6 months PP. Clinical Trial Registration: Use of a reproductive life planning tool at the pediatric well-baby visit with postpartum women, NCT03448289.

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A Novel Approach to Postpartum Contraception Provision Combined with Infant Care: A Randomized, Controlled Trial

Cited by 14 publications

References 30 publications

Clinical And Laboratory Results Of Intrauterine Device Cu T 380 A Intrauterine System Intraoperative Injection

Clinical And Laboratory Results Of Intrauterine Device Cu T 380 A Intrauterine System Intraoperative Injection

A two‐generation approach to postpartum care: Building on the well‐baby visit

Addressing Women's Health Care Needs During Pediatric Care

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