Postpartum intentions on contraception use and method choice among breastfeeding women attending a university hospital in Ohio: a cross-sectional study
| Autor: | Lisa M. Keder, Yiska Loewenberg Weisband, Maria F. Gallo, Sarah A. Keim |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice medicine.medical_specialty Adolescent Population Breastfeeding Intention Prenatal care Choice Behavior Hospitals University Young Adult Unintended pregnancy 03 medical and health sciences 0302 clinical medicine Pregnancy Postpartum Obstetrics and Gynaecology Humans Lactation Medicine 030212 general & internal medicine education Contraception Behavior education.field_of_study 030219 obstetrics & reproductive medicine business.industry Obstetrics Research Postpartum Period Obstetrics and Gynecology Prenatal Care 3. Good health Breast Feeding Cross-Sectional Studies Contraception Reproductive Medicine Family planning Family Planning Services Female business Developed country Breast feeding Postpartum period |
| Zdroj: | Reproductive Health |
| ISSN: | 1742-4755 |
| DOI: | 10.1186/s12978-017-0307-4 |
| Popis: | Background Few postpartum women use effective contraception and those who use less effective methods have increased rates of unintended pregnancy. Little is known about postpartum contraception intentions among breastfeeding women. Our objectives were to measure the extent of prenatal contraceptive counseling, to assess contraceptive intentions, and to identify correlates of both among postpartum women who were planning to breastfeed. Methods We conducted a cross-sectional study using a convenience sample of 100 breastfeeding women before their discharge following delivery at a large university hospital in 2015. We used logistic regression to assess three outcomes of interest: not intending to use contraception before 6 months postpartum, reporting receiving counseling on postpartum contraception during prenatal care, and considering the effects of contraception methods on the breastfeeding mother-infant dyad when choosing a postpartum contraception method. Results Most women (91%) intended to use contraception. Prior history of no contraception use was the sole factor related to not intending to use contraception. The most commonly cited reason for the intended choice of contraceptive method was convenience (35%). Few women (21%) reported considering the effects of contraception methods on the breastfeeding dyad when choosing a postpartum contraception method. Nearly half of women reported never discussing postpartum contraception options with their healthcare provider during prenatal care. In the multivariate analysis, receiving public assistance was the only factor that remained statistically significantly associated with reporting having received contraception counseling during prenatal care. Conclusions Although most women intended to use contraception, they did not appear to have received adequate prenatal counseling on postpartum contraception. |
| Databáze: | OpenAIRE |
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