Does contraceptive counseling during pregnancy increase self-reported use of hormonal, intrauterine, or permanent contraception in the first six months postpartum?

Bhatt, Komal; Oluyadi, Fareedat; Amico, Jennifer

doi:10.1097/ebp.0000000000000567

Cited by 1 publication

(2 citation statements)

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“…Mothers not attending healthcare visits in the preconception and postpartum periods may comprise a population at higher prevalence of VRRP who would benefit from additional family planning resources to help them achieve their reproductive goals. This is consistent with previous literature indicating that comprehensive contraceptive counselling during the prenatal and immediate postpartum periods is associated with a decreased risk of RRP 26,29,30 . Finally, more research is needed to better understand the causal relationship between VRRPs and adverse birth outcomes and to develop effective interventions to reduce the prevalence of VRRPs and improve maternal and child health outcomes.…”

Section: Discussionsupporting

confidence: 89%

“…This is consistent with previous literature indicating that comprehensive contraceptive counselling during the prenatal and immediate postpartum periods is associated with a decreased risk of RRP. 26,29,30 Finally, more research is needed to better understand the causal relationship between VRRPs and adverse birth outcomes and to develop effective interventions to reduce the prevalence of VRRPs and improve maternal and child health outcomes.…”

Section: Con Clus Ionsmentioning

confidence: 99%

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Prevalence and correlates of very rapid repeat pregnancy: Pregnancy Risk Assessment Monitoring System, United States, 2009–2020

Luff,

Menegay,

Gallo

2023

Paediatric Perinatal Epid

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BackgroundMost rapid repeat pregnancies, defined as those occurring within 18 months of a previous birth, are unintended. These pregnancies are associated with later initiation of prenatal care and are more common among people with lower socio‐economic status and among racially and ethnically minoritised populations.ObjectivesTo assess prevalence and correlate pregnancies occurring in the immediate period after a live birth in the United States, using the Pregnancy Risk Assessment Monitoring System (PRAMS).MethodsWe assessed data from the 2009–2020 PRAMS, a population‐based survey of perinatal maternal characteristics of mothers of liveborn infants in US locations. We assessed pregnancies reported during the immediate postpartum period (approximately 2–6 months post‐delivery), and term this ‘very rapid repeat pregnancy’ (VRRP). We assessed the adjusted prevalence of VRRP from 2009 to 2020. From 2016 to 2020, we calculated adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) for maternal characteristics.ResultsThe adjusted prevalence of VRRP ranged from 0.38% (95% CI: 0.29, 0.48) in 2009 to 0.76% (95% CI: 0.61, 0.91) in 2020. Demographic characteristics associated with VRRP included younger age, lower educational attainment, and being unmarried. Black mothers had a higher prevalence of VRRP compared to white mothers. Mothers who attended a healthcare visit in the 12 months preconception had a lower prevalence of VRRP as did mothers who attended a postpartum check‐up, compared to their counterparts without these visits. Among those receiving prenatal care, mothers whose prenatal healthcare provider asked about postpartum contraception birth had a lower prevalence of VRRP, compared to those not asked about postpartum contraception.ConclusionsVRRP appeared to increase over time in 2009–2020. Mothers who are younger, Black, have lower educational attainment, or who did not attend healthcare visits before or after pregnancy had a higher prevalence of VRRP and may comprise a population who would benefit from additional family planning resources.

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Section: Discussionsupporting

confidence: 89%

Section: Con Clus Ionsmentioning

confidence: 99%