RecruitingNot ApplicableNCT05550064

Structured Contraceptive Counseling During Pregnancy

Evaluating Effects of Prepartum Structured Contraceptive Counseling to Increase Postpartum Use of Long-acting Reversible Contraception


Sponsor

Dalarna University

Enrollment

160 participants

Start Date

Nov 19, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Unintended pregnancy is common among women of fertile age, and also among those who have recently given birth. A Swedish study has shown that about 7.7% experience a new pregnancy, and that 2.5% will have an abortion between 12-24 months from childbirth. This is a prospective observational intervention study, aiming to evaluate the effects of structured contraceptive counseling during pregnancy on uptake of contraception postpartum and more specifically on long-acting reversible contraceptive methods, and to identify and explore the provider's and patient's experiences of structured contraceptive counseling during pregnancy.


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria1

  • years or older, gestational week 30 or more, need for contraception 6 months or more after delivery

Exclusion Criteria1

  • \- Language barrier that affects participation when an interpreter is not available, assisted fertilization, planned sterilization of partner, use of contraception for other purposes than pregnancy prevention.

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Interventions

OTHERStructured contraceptive counseling

1. Educational video - healthcare providers (Medical doctors and nurse-midwives)present available contraceptives that could be used after delivery, with emphasis on effectiveness, how they should be used, mechanism of action and health benefits. 2. The four key questions are to be asked to all pregnant women to make them reflect on factors that highly affects choice of contraceptives. 3. A tiered effectiveness chart will be used to visualize the effectiveness of different contraceptives, and guide the prospective user in her choice depending on the answers to the key questions 4. The box of contraceptive models are used for the prospective user to inspect, hold, feel the different contraceptives, as this has been shown to decrease fear regarding specific methods.


Locations(4)

Health Care Region Dalarna

Falun, Sweden

Health Care Region Värmland

Karlstad, Sweden

Health Care Region Örebro Län

Örebro, Sweden

Health Care Region Uppsala

Uppsala, Sweden

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NCT05550064


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