Abstract
Objective
To identify factors associated with contraceptive planning in the immediate postpartum
period.
Study design
Survey of those receiving inpatient postpartum care in two tertiary hospitals/associated
birthing units (Auckland, New Zealand). Multivariable analyses using logistic regression
examined independent predictors of contraceptive planning.
Results
Of 571 participants, those who recalled both antenatal and postpartum contraception
discussions were more likely to have a contraceptive plan than those who recalled
neither (aOR 5.6(2.8–11.5)).
Conclusion
Both antenatal and postpartum contraceptive discussions are associated with postpartum
contraceptive planning.
Implications
Both antenatal and postpartum discussions around contraception were independently
associated with increased rates of established contraceptive plan postpartum, however
patients who recalled both were more likely to have made a plan. Clinicians should
provide multiple opportunities for discussing contraception throughout pregnancy and
post-pregnancy to facilitate informed decision making.
Keywords
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Article info
Publication history
Published online: October 11, 2022
Accepted:
September 26,
2022
Received in revised form:
September 19,
2022
Received:
July 12,
2022
Footnotes
☆Conflicts of interest: None.
☆☆Funding: This work was supported by a University of Auckland summer studentship grant and Strathlachland Fund. These sponsors had no role in the study design, collection, analysis or interpretation of data, writing on the report or decision to submit for publication.
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