Prenatal contraceptive counseling and method provision after childbirth

Nelson, Anita L.

doi:10.2147/oajc.s52925

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…Acceptance of IUCD: woman’s verbal consent to use IUCD within 10 min to 48 h of delivery of placenta after they counseled about PPIUCD [9]. …”

Section: Methodsmentioning

confidence: 99%

“…The immediate postpartum period is a great opportunity for PPIUCD service providers to introduce the method especially in settings where women have cultural and/or geographical limitation to access contraceptive service [8]. Failure to provide immediate postpartum contraception can contribute the occurrence of unintended pregnancies because most of the women often do not return for postnatal services [9]. The initiation and provision of contraceptive methods during the immediate postpartum period safeguard the women from unintended pregnancy before they resume sexual activity or return to fecundity [10].…”

Section: Introductionmentioning

confidence: 99%

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Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Gonie

Worku

Assefa

et al. 2018

Contracept Reprod Med

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BackgroundThe postpartum intrauterine contraceptive devices (PPIUCD) is the only family planning method for couples requesting highly effective, reliable, inexpensive, non-hormonal, immediately reversible, and long-acting contraceptive that can be initiated during the immediate postpartum period and it has no a negative effect on lactation. Despite these benefit, the acceptance and utilization of immediate PPIUCD were very low and the reasons for rejecting immediate PPIUCD usage have not been characterized in Southeast Ethiopia. Therefore, this study determined the level of acceptability and factors associated with immediate PPIUCD use among women who gave birth at Bale zone health facilities, Southeast Ethiopia.MethodsA facility based cross-sectional study was conducted from March to July 2017 in Bale zone health facilities. Four hundred twenty-nine women were successfully interviewed using structured and pre-tested questionnaire. Health facilities were selected by lottery method. Study participants were selected systematically. Data were entered into Epi data version 3.1 and exported into SPSS version 21 for analysis. Logistic regression analyses were done. A significant association was declared at a p-value less than 0.05.ResultsThe acceptance of immediate PPIUCD usage was 12.4%. Non-acceptors reported their reasons for rejecting PPIUCD use; concern and fears of complications (24.8%), religious beliefs (19.8%), and husband refusal (17.7%). Respondents who had completed secondary education were more likely to accept PPIUCD usage than those who had no formal education (AOR = 3, CI = 11.81, 53.91). In addition, the odds of accepting PPIUCD insertion was higher among women who attended 3 antenatal care visits than those who did not attend antenatal care visits for the current birth (AOR = 1.81, CI = 0.34, 0.85).ConclusionsThe acceptance of immediate PPIUCD usage was still low. This might be attributed to the low achievement of education, perceived concern and fears of complications towards IUCD insertion. The male partner’s refusal and religious beliefs also have a role in the usage of postpartum IUCD. Due attention should be given to enhancing educational level of women and effective IUCDs counseling should be given during antenatal care visits to correct misconceptions and fears of complication about PPIUCD insertion.Electronic supplementary materialThe online version of this article (10.1186/s40834-018-0071-z) contains supplementary material, which is available to authorized users.

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“…Acceptance of IUCD: woman’s verbal consent to use IUCD within 10 min to 48 h of delivery of placenta after they counseled about PPIUCD [9]. …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Gonie

Worku

Assefa

et al. 2018

Contracept Reprod Med

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“…Prenatal contraceptive counselling is a topic that pregnant adolescents need to be educated about, as antenatal contraceptive counselling has been shown to increase postpartum contraceptive use by adolescents, thus preventing another unplanned pregnancy. 56…”

Section: Contraceptionmentioning

confidence: 99%

The profile of adolescent patients presenting to a tertiary maternal mental health clinic

Cooke,

Moodley,

Paruk

2023

South African Journal of Psychiatry

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Background: Between March 2021 and April 2022, there were 90 037 documented adolescent pregnancies in South Africa. Statistics SA reports that this number is growing. Pregnancy places adolescents at greater risk of psychiatry-related morbidity and may have far-reaching consequences for their children. To date, there is no published data describing the patient profile of adolescent pregnancies in Gauteng Province, South Africa.Aim: To describe the patient profile (demographics, schooling history and type of accommodation), pregnancy-related factors, substance use habits and contraceptive use in pregnant adolescents seen at a tertiary care maternal mental health clinic (MMHC).Setting: The MMHC at Chris Hani Baragwanath Academic Hospital, Soweto, Johannesburg, South Africa.Methods: A retrospective file review of all pregnant adolescents referred to the MMHC between January and June 2022.Results: The mean age of the patients was 15.2 years; 72% attended school and 97.4% planned to return. Most pregnancies were unplanned (97.9%), wanted (84%) and presented in the second (41.24%) and third (51.55%) trimesters. Most did not report using substances (76.7%). Fifty percent of the participants met the criteria for a major depressive disorder. Repeating a grade was an identifiable risk factor for an increased Edinburgh depression score. An unplanned pregnancy was associated with a higher risk factor assessment.Conclusion: Pregnant adolescents represent a vulnerable population group. A greater understanding of this patient profile may inform early psychiatric and psychosocial interventions, improved service delivery and help-seeking behaviour.Contribution: This study gives significant insights into the challenges faced, as well as the health and social needs of pregnant adolescents. This contributes to wholistic care and opportunities for early intervention, including awareness of contraceptive use and the risks of substance use and adolescent pregnancy on mental health, benefiting all South African adolescents.

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Statewide quality improvement initiative to implement immediate postpartum long-acting reversible contraception

Lacy

Baird²,

Scott

et al. 2020

American Journal of Obstetrics and Gynecology

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Prenatal contraceptive counseling and method provision after childbirth

Cited by 5 publications

References 76 publications

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

The profile of adolescent patients presenting to a tertiary maternal mental health clinic

Statewide quality improvement initiative to implement immediate postpartum long-acting reversible contraception

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