The Effect of Combined Antenatal and Postnatal Counselling on Postpartum Modern Contraceptive Use: Prospective Case-Control Study in Kocaeli, Turkey

Vural, Fisun; Vural, Bírol; Çakıroğlu, Yiğit

doi:10.7860/jcdr/2016/16931.7641

Cited by 8 publications

(17 citation statements)

References 24 publications

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“…In addition, women who reported the ability to make their own FP decisions had three times greater odds of receiving a method compared to women unable to make their own decisions. These results align with previous studies in India, Senegal, and Turkey, which also found that that partner communication [ 16 , 25 ] and self-efficacy [ 20 ] are positively associated with FP uptake. These findings suggest that women who have had conversations with their FP partners and/or feel they can make their own decisions may be initiating FP conversations with providers, thereby driving the receipt of information and a method during a care visit.…”

Section: Discussionsupporting

confidence: 92%

“…Findings from this study corroborate evidence that women’s self-efficacy in FP decision-making [ 20 ], women’s specific demographic characteristics (e.g., religiosity, wealth) [ 12 ], and providers’ in-service training [ 7 , 29 ] influence women’s odds of receiving a FP method. This study adds new evidence pertaining to important elements of FP counseling and receipt of a method—namely, the quantity of FP information received at a single care visit (e.g., number of methods described, number of sources of FP information).…”

Section: Discussionsupporting

confidence: 77%

“…To increase postpartum FP uptake and reduce unmet need, FP counseling and provision are routinely recommended for integration into antenatal, labor and delivery, and postnatal care services [ 12 – 17 ]. However, evidence varies on whether the increase in FP use relates to the type of care services in which FP services are being integrated [ 13 , 23 , 27 ], number of times counseling is provided [ 17 – 20 ], whether the FP counseling is provided during the antenatal versus postpartum period [ 15 , 17 – 21 ], and whether modern contraceptive supplies are available at the time/onsite. Moreover, some studies have found positive effects while others have found no effect [ 16 , 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…Women’s individual, sociodemographic characteristics, and life circumstances also influence FP uptake. Partner communication and support, self-efficacy, intensity of antenatal care visits, and previous FP use have been found to be positively associated with FP uptake [ 16 , 20 , 25 ]. Lower wealth and history of physical intimate partner violence have been associated with nonuse of FP methods [ 12 , 17 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma Region, Tanzania: a cross-sectional study, April–July 2016

et al. 2018

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BackgroundIntegration of family planning (FP) services into non-FP care visits is an essential strategy for reducing maternal and neonatal mortality through reduction of short birth intervals and unplanned pregnancies.MethodsCross-sectional surveys were conducted across 61 facilities in Kigoma Region, Tanzania, April–July 2016. Multilevel, mixed effects logistic regression analyses were conducted on matched data from providers (n = 330) and clients seeking delivery (n = 935), well-baby (n = 272), pregnancy loss (PL; n = 229), and other routine (postnatal, HIV/STI, other; n = 69) services. Outcomes of interest included receipt of FP information and a modern FP method (significance level p < 0.05).ResultsClients had significantly greater odds of receiving FP information if the primary reason for seeking care was for PL versus (vs) any other types of care (aOR 1.97), had four or more pregnancies vs fewer (aOR 1.78), and had had a FP discussion with their partner vs no FP discussion (aOR 1.73). Clients had lower odds of receiving FP information if they were aged 40–49 vs 15–19 (aOR 0.50) and reported attending religious services at least weekly vs less frequently (aOR 0.61). Clients of providers who perceived that in-service training had helped vs had not helped job performance (aOR 2.27), and clients of providers having high vs low recent FP training index scores (aOR 1.58) had greater odds of receiving FP information.Clients had greater odds of receiving a modern method when they received information on two or more vs fewer methods (aOR 7.13), had had a FP discussion with their partner vs no discussion (aOR 5.87), if the primary reason for seeking care was for PL vs any other types of care (aOR 4.08), had zero vs one or more live births (aOR 3.92), made their own FP decisions vs not made own FP decisions (aOR 3.17), received FP information from two or more vs fewer sources (aOR 3.12), and were in the middle or high vs the low wealth tercile (aOR 1.99 and 2.30, respectively). Well-baby care clients, Other routine services clients, and married clients had significantly lower odds of receiving a method (aOR 0.14; aOR 0.08; and aOR 0.41, respectively) compared to their counterparts.ConclusionsStrategies that better integrate FP into routine care visits, encourage women to have FP discussions with their partners and providers, increase FP training among providers, and expand FP options and sources of information may help reduce the unmet need for FP, and ultimately lower maternal and neonatal mortality.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma Region, Tanzania: a cross-sectional study, April–July 2016

et al. 2018

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“…Antenatal care provides a gateway to access reproductive, maternal, newborn and child health services and a window of opportunity to promote use of contraception after childbirth (8,9). Family planning counselling within the realm of antenatal care could potentially increase uptake (10)(11)(12)(13). It may be bene cial to engage partners of women into such issues of contraception in case they have supportive attitudes towards family planning, since decision-making is often male-dominated.…”

Section: Introductionmentioning

confidence: 99%

Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

Massenga¹,

Norohna²,

Awadhi³

et al. 2020

Preprint

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BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

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Factors Influencing Contraceptive Choice During the Postpartum Period: A Qualitative Systematic Review

Robinet

Jeffredo

Clesse

2023

J Midwife Womens Health

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Introduction The objective of this article is to identify the factors that influence the choice of contraceptive methods in the postpartum period. Methods We conducted a qualitative systematic review including articles published between 2000 and 2021 on postpartum contraception and its related influential factors. Relying on Preferred Reporting Items for Systematic Reviews and Meta‐Analyses and synthesis without meta‐analysis checklists, the search strategy relied on a combination of 2 lists of keywords applied to 9 databases. A bias assessment was carried out with the help of the Cochrane's randomized controlled trial tool, the checklist from Downs and Black, and Consolidated criteria for reporting qualitative research (CoreQ). A thematic analysis was performed to identify categories of influential factors. Results A total of 34 studies met our inclusion criteria and enabled us to isolate 4 categories of factors: (1) demographic and economic factors (geographic and ethnic origin, age, living environment, education/wealth), (2) clinical elements (parity, evolution of pregnancy, childbirth and afterwards, contraception used previously and its mechanism, pregnancy planning), (3) health care delivery (pregnancy monitoring, sessions about contraception, health care system, place of delivery), and (4) sociocultural factors (knowledge and beliefs about contraception, religion, the influence of family and society). The decision process related to postpartum contraception is influenced by a combination of socioenvironmental factors and clinical elements. Discussion The main influential factors (parity, level of education, knowledge and beliefs about contraception, and influence of family) need to be addressed by clinicians during consultations. Further multivariate research should provide quantitative data on this topic.

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The Effect of Combined Antenatal and Postnatal Counselling on Postpartum Modern Contraceptive Use: Prospective Case-Control Study in Kocaeli, Turkey

Cited by 8 publications

References 24 publications

Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma Region, Tanzania: a cross-sectional study, April–July 2016

Client and provider factors associated with integration of family planning services among maternal and reproductive health clients in Kigoma Region, Tanzania: a cross-sectional study, April–July 2016

Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

Factors Influencing Contraceptive Choice During the Postpartum Period: A Qualitative Systematic Review

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