The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

Shreffler, Karina M.; Tiemeyer, Stacy; Price, J.; Frye, Lance

doi:10.1186/s40834-020-00127-4

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…This is a largely undercharacterized but important group between 2 extremes of a pregnancy intention continuum. 36 As shown here and in several prior studies, 36 , 37 , 38 if given this option, 13% to 40% women would classify themselves into this category. On the other hand, pregnancy intention among women who were avoiding pregnancy was fairly stable, in agreement with a previous study 35 that found that women who reported never desiring a pregnancy had the most stable pregnancy intention (78% did not change) at 12-month reassessment, whereas 60% of those contemplating pregnancy within the next year changed their desire.…”

Section: Discussionsupporting

confidence: 64%

Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America

et al. 2023

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ImportancePregnancy intention assessment is a key element of preconception and contraceptive care. The association between a single screening question and the incidence of pregnancy is unknown.ObjectiveTo prospectively evaluate the dynamics of pregnancy intention and pregnancy incidence.Design, Setting, and ParticipantsThis prospective cohort study (the Nurses’ Health Study 3) was conducted from June 1, 2010, to April 1, 2022, in 18 376 premenopausal, nonpregnant female nurses aged 19 to 44 years.Main Outcomes and MeasuresPregnancy intention and pregnancy status were assessed at baseline and approximately every 3 to 6 months thereafter. Cox proportional hazards regression models were used to estimate the association between pregnancy intention and pregnancy incidence.ResultsA total of 18 376 premenopausal, nonpregnant women (mean [SD] age, 32.4 [6.5] years) participated in the study. At baseline, 1008 women (5.5%) were trying to conceive, 2452 (13.3%) were contemplating pregnancy within 1 year, and the remaining 14 916 (81.2%) were neither trying to conceive nor thought they would be pregnant within 1 year. A total of 1314 pregnancies were documented within 12 months of pregnancy intention assessment. The cumulative incidence of pregnancy was 38.8% in women actively trying to conceive (median [IQR] time to pregnancy, 3.3 [1.5-6.7] months), 27.6% in women contemplating pregnancy (median [IQR] time to pregnancy, 6.7 [4.2-9.3] months), and 1.7% in women neither trying to conceive nor contemplating pregnancy (median [IQR] time to pregnancy, 7.8 [5.2-10.5] months) among those who became pregnant. Women who were actively trying to conceive were 23.1 times (95% CI, 19.5-27.4 times) and women who were contemplating pregnancy were 13.0 times (95% CI, 11.1-15.2 times) more likely to conceive within 12 months than women who were neither attempting nor contemplating pregnancy. Among women contemplating pregnancy at baseline who did not get pregnant during follow up, 18.8% were actively trying and 27.6% were not trying by 12 months. Conversely, only 4.9% of women neither trying to conceive nor contemplating pregnancy within 1 year at baseline changed pregnancy intention during follow up.Conclusions and RelevanceIn this cohort study of reproductive-aged nurses in North America, pregnancy intention was highly fluid among women who were contemplating pregnancy but relatively stable among women trying to conceive and women who were neither trying to conceive nor contemplating pregnancy. Pregnancy intention was strongly associated with pregnancy incidence, but the median time to pregnancy points to a relatively short time window to initiate preconception care.

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Section: Discussionsupporting

confidence: 64%

Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America

et al. 2023

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“…20 Shreffler et al researched 44 respondents of trimester III pregnant women who were given counseling on contraception. 21 The results showed that there were significant differences in increasing knowledge after counseling was given. Another study conducted by Oduyebo et al also showed the same results.…”

Section: Discussionmentioning

confidence: 97%

“…The majority were aged 20-34 years. [15][16][17][18][19][20][21][22][23] This is due to the possibility that the group with a higher age assumes that the fertility rate has decreased so that they do not need contraception. Other research shows that respondents who are> 30 years old prefer not to use contraception, and the level of contraceptive use decreases at higher ages.…”

Section: Original Aerticlementioning

confidence: 99%

Utilization of local culture "Bapalas Bidan" as a postpartum counseling media on contraception tools

Noordiati

Sukriani

2022

Bali Med J.

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Background: Postpartum contraception is a way to prevent recurrent pregnancies to ensure the health of both mother and baby. Many postpartum mothers think that there will be no pregnancy during amenorrhea in the postpartum period and will use the contraceptive method after the first menstruation. There are still some who do not use contraception. Contraceptive success will be achieved if the counseling and media are effective. Palangka Raya's city has a Bapalas Bidan culture, a ritual in which a newborn baby is declared a midwife's child until the midwife's blessing ceremony is carried out for the baby and the mother. Methods: This research type is a quasi-experimental study with two group comparison pretest-posttest design with counseling intervention and booklets. The research subjects were postpartum mothers who gave birth or were treated at the Midwives Individual Service in Palangka Raya City, amounting to 30 each per treatment and control group. Results: There was a difference in the mean and an increase in the group's knowledge score after receiving counseling through the Bapalas Bidan (p = 0.000). The increase in knowledge was higher in the group that received counseling than in those who did not get counseling. Postpartum mothers who have high knowledge of contraception use contraception more than mothers with low knowledge. The proportion of postpartum mothers who used contraception was more in the group who received counseling (p = 0.018), aged 20-35 years (p = 0.015), had parity ≥3 (p = 0.024), and higher education (p = 0.006). Conclusion: Postpartum mothers who have high knowledge of contraception use contraception more than mothers with low knowledge.

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“…The data were collected with a survey designed by researchers based on the literature [6,[9][10][11] and the CIQ. [13] Developed by Bennet and Rocca (2015) and confirmed by Suid and Pasinlioğlu (2021) in terms of reliability and validity in Turkish, CIQ consists of 15 items in total with a 4-Point Likert scale.…”

Section: Data Collection Toolsmentioning

confidence: 99%

“…In the study, only 28.2% of the control group and 31.6% of the intervention group used modern contraceptive methods. [ 10 ] In their study evaluating the role of antenatal contraceptive counseling, Shreffler et al [ 11 ] suggested that women who do not plan another pregnancy after birth should be informed about contraceptive methods but those who think about it need information and counseling on the risks of short interpregnancy intervals. In this regard, it is of great significance that healthcare professionals should provide effective counseling and efficient training on all the contraceptive methods so as to prevent unintended pregnancy, specify interpregnancy interval, and ensure a conscious use of contraceptive methods.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of contraceptive intentions among pregnant women in the third trimester: A cross-sectional study

Yeşil,

Dönmez

2024

Medicine

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This study aims to determine contraceptive intentions of pregnant women in the third trimester. This cross-sectional study was conducted at a training and research hospital in Mardin province between March 2023 and May 2023. In total, 253 pregnant women who had the ability to communicate in Turkish and agreed to participate were included in the study. Data were collected through face-to-face interviews using a survey and the Contraceptive Intent Questionnaire (CIQ). The average age of the participants was 28.87 ± 5.35 with 30.8% of them holding a secondary school degree. It was found that there was a statistically significant difference in terms of CIQ score between categories of the following descriptive variables: education level, husband’s/partner’s education level, fertility plan, receiving family planning counseling during pregnancy, and paying for the contraceptive methods used (P = .046, P = .013, P < .001, P = .008, and P < .001 respectively). It was determined that pregnant women who had not received family planning counseling during pregnancy and paid for the contraceptive method had higher contraception intention.

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The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

Cited by 8 publications

References 25 publications

Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America

Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America

Utilization of local culture "Bapalas Bidan" as a postpartum counseling media on contraception tools

Evaluation of contraceptive intentions among pregnant women in the third trimester: A cross-sectional study

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