The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use
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(2020) 5:28
Contraception and Reproductive Medicine
RESEARCH
Open Access
The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use Karina M. Shreffler1* , Stacy Tiemeyer1, Jameca R. Price2 and Lance T. Frye3
Abstract Background: The study was conducted to prospectively examine how pregnancy intendedness and prenatal provider counseling about postpartum contraceptive options are associated with lack of contraception use at 6 months post-birth (e.g., increased risk for a short interpregnancy interval). Methods: Logistic regression models were used to examine risk for no postpartum contraception use among a sample of low-income and racially/ethnically diverse women recruited from two metropolitan perinatal clinics in Tulsa, OK. Results: Women who reported that they were trying to get pregnant or “okay either way” about getting pregnant had significantly lower odds of using contraception at 6 months post childbirth than those who had unintended pregnancies. Having providers who discussed postpartum contraceptive options during pregnancy significantly increased the odds of contraceptive uptake among those who were planning or ambivalent about their pregnancies. Conclusions: Intentions of a current pregnancy and provider contraceptive counseling matter for postpartum contraceptive use and the associated risk for a short interval subsequent pregnancy. Provider contraceptive counseling that accounts for the intendedness of a current pregnancy may offer a more targeted approach to prevent a short interval subsequent pregnancy. Keywords: Family planning, Contraception, Counseling, LARC, Unintended pregnancy, Ambivalence
* Correspondence: [email protected] *This research was supported in part by the National Institute of General Medical Sciences of the National Institutes of Health (P20GM109097; Jennifer Hays-Grudo, PI). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. For more information, contact: Karina M. Shreffler, Department of Human Development and Family Science, Oklahoma State University, 700 N. Greenwood Ave., Tulsa, OK, 74106. Phone: 918-594-8389. Email: karina. [email protected]. 1 Oklahoma State University, 700 N. Greenwood Ave, Tulsa, OK 74106, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intende
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