Adolescent and young women’s contraceptive decision-making processes: choosing “the best method for her”

Melo, Juliana; Peters, Marissa; Teal, Stephanie; Guiahi, Maryam

doi:10.1016/j.contraception.2013.05.111

Cited by 8 publications

(32 citation statements)

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“…Women's preferences for comprehensive, objective information and autonomy were similar to what has been demonstrated in studies outside of the perinatal context [20,21]. Our data aligns with a growing body of literature supporting shared decision making as a patientcentered approach to contraceptive counseling [22,23].…”

Section: Discussionsupporting

confidence: 83%

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

2020

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Objectives: The objective of this study was to explore perceptions and experiences of immediate postpartum long-acting reversible contraception (LARC) counseling and decision-making, with a focus on reproductive autonomy. We aimed to assess the potential for reproductive coercion. Study design: This was a qualitative study using semi-structured interviews with Spanish and English speaking women who received an intrauterine device or contraceptive subdermal implant immediately postpartum. They were recruited before discharge from two hospitals in Baltimore, MD. We analyzed interviews using directed content analysis. Results: We interviewed a diverse group of 17 women. Participants praised the convenience of LARC and the ease of immediate postpartum placement. Some women reported feeling pushed by providers during counseling and were critical of their experiences. Women expressed a desire for comprehensive, objective information early and often during antepartum contraceptive counseling, and some valued counseling from multiple providers. They wanted autonomy in their contraceptive decision-making and described making internally motivated decisions based on their life goals and individual priorities. Conclusions: Some women felt pressured to choose immediate postpartum LARC, while others expressed enthusiasm for immediate postpartum LARC. Our data suggest that providers should start contraceptive counseling early in prenatal care and readdress it at multiple visits. Patients may benefit from speaking with multiple providers. Implications: Our study supports immediate postpartum LARC as a favorable contraceptive option for some women when discussed during prenatal care. Providers should take care to avoid coercion during counseling and focus on delivering comprehensive, objective information about all contraceptive methods, including side effects and removal options.

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Section: Discussionsupporting

confidence: 83%

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

2020

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“…The 26 articles we identified were published between 2008 and 2017 (Table ), and 16 (62%) were published during the last five years of our search range (2013–2017). Twenty‐four articles exclusively reported qualitative data (other than basic descriptive data on the sample's demographic and other characteristics), while one was a mixed‐methods study and another was part of a larger ethnographic study .…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, the study by Francis et al examined women's perceptions of the ring (and other vaginally placed products, such as gels and IUDs), and only one participant had ever used the method . The remaining studies all examined broader categories of contraceptives, such as nondaily methods, long‐acting reversible contraceptives or contraceptives in general (i.e., both hormonal and nonhormonal methods) . In many of the studies, information about the ring was limited to brief summaries, along with a few illustrative examples and quotes (sometimes only one) pertaining to the method.…”

Section: Resultsmentioning

confidence: 99%

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Vargas

Midoun

Guillen

et al. 2019

Perspect Sexual Reproductive

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CONTEXT Vaginal rings are available for contraception and hormone replacement, and are being developed as HIV/STD or multipurpose prevention technologies. A comprehensive understanding of women's expectations of and experiences with rings is urgently needed to inform product development and to optimize ring use. METHODS Three databases (PubMed, Global Health and CINAHL) were searched for English‐language, peer‐reviewed articles published between January 1996 and November 2017 that reported qualitative data on barriers to and facilitators of use of female‐controlled contraceptive methods. Data on study methods, findings and conclusions pertaining to contraceptive rings were extracted, organized and analyzed. RESULTS Twenty‐six articles, all published since 2008, met the inclusion criteria. Seven studies focused largely or entirely on rings (and involved current, former or potential users), while the others focused on other contraceptive methods but included ring‐specific data. Familiarity with the ring was low, and women commonly had initial concerns about the method—often related to insertion and removal, cleanliness and discomfort with touching their vagina—that were typically overcome over time. Other major themes were issues related to ring use and discontinuation, the importance of ring‐related properties and characteristics, and considerations related to sexual partners and health care providers. CONCLUSIONS Qualitative data have the potential to inform ring design and promotion. Future research should further explore women's expectations and experiences with the ring, the value of involving male partners in ring evaluation, and evaluation of interventions to improve patient–provider communication concerning ring choice and use.

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“…On the other hand, a nontrivial proportion of women had active intentions to pursue their preferred methods, but had not yet acquired them (e.g., their reported reason for mismatch was ''need to find a doctor to go to'' and were thus coded to ''Still in Contemplation/Intention Phase''), which is a promising finding consistent with behavioral change models. 10,32 Women in ''precontemplation,'' ''contemplation,'' or ''preparation'' stages may be particularly influenced by information from peers, partners, health providers, and others, and thus are prime targets for educational and social network interventions. Indeed, cognitive behavioral models that account for preferences (or some proxy of it) appear useful in intervention research on contraceptive method continuation.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of literature has used choice as a proxy for preference by assuming women are choosing and then using their preferred method. [9][10][11] However, few, if any, studies have comprehensively described the unique construct of contraceptive method preference or estimated whether women are using their preferred methods, and subsequently identified what barriers may preclude preferred method use. One notable preference-based study of U.S. women at high risk of unintended pregnancy identified effectiveness, lack of side effects, and affordability as ''extremely important'' contraceptive features, but did not directly ask participants their preferred contraceptive method.…”

Section: Introductionmentioning

confidence: 99%

Women's Contraceptive Preference-Use Mismatch

Dalton

Zochowski

et al. 2017

Journal of Women's Health

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Adolescent and young women’s contraceptive decision-making processes: choosing “the best method for her”

Cited by 8 publications

References 0 publications

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study,

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Women's Contraceptive Preference-Use Mismatch

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