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Factors associated with postpartum contraceptive planning in New Zealand

      Abstract

      Objective

      To identify factors associated with contraceptive planning in the immediate postpartum period.

      Methods

      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.

      Keywords

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      References

        • Hohmann-Marriott BE
        Unplanned pregnancies in New Zealand.
        Austr N Z J Obstet Gynaecol. 2018; 58: 247-250https://doi.org/10.1111/ajo.12732
      1. Auckland District Health Board. Immediate-Postpartum-Insertion-of-IUD 2019. https://www.nationalwomenshealth.adhb.govt.nz/assets/Womens-health/Documents/Policies-and-guidelines/Immediate-Postpartum-Insertion-of-IUD.pdf (accessed March 11, 2022).

        • Messenger B
        • Beliveau A
        • Clark M
        • Fyfe C
        • Green A.
        How has contraceptive provision at Family Planning clinics in Aotearoa New Zealand changed between 2009, 2014 and 2019: a cross-sectional analysis.
        N Z Med J. 2021; 134: 21-32
        • Wimsett J
        • Sadler L
        • Tutty S
        • Tutty E
        • Oyston C.
        Pregnancy planning and barriers to accessing postnatal contraception in New Zealand.
        Contraception. 2022; 112: 100-104https://doi.org/10.1016/j.contraception.2022.02.007
        • Ministry of Health
        Ethnicity Data Protocols for the Health and Disability Sector.
        Wellington: MInistry of Health. 2004;
        • Ministry of Health
        HISO 10001:2017 Ethnicity Data Protocols.
        Ministry of Health, Wellington2017 (accessed October 8, 2021)
        • Zapata LB
        • Murtaza S
        • Whiteman MK
        • Jamieson DJ
        • Robbins CL
        • Marchbanks PA
        • et al.
        Contraceptive counseling and postpartum contraceptive use.
        Am J Obstet Gynecol. 2015; 212: 171.e1-171.e8https://doi.org/10.1016/j.ajog.2014.07.059
      2. Ministry of Health (New Zealand). New Zealand Aotearoa's guidance on contraception. 2020.

        • Cameron ST
        • Craig A
        • Sim J
        • Gallimore A
        • Cowan S
        • Dundas K
        • et al.
        Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation.
        BJOG. 2017; 124: 2009-2015https://doi.org/10.1111/1471-0528.14674
        • Lopez LM
        • Grey TW
        • Chen M
        • Hiller JE.
        Strategies for improving postpartum contraceptive use: evidence from non-randomized studies.
        Cochrane Database Syst Rev. 2014; (2014)https://doi.org/10.1002/14651858.CD011298
        • Uhm
        Women's preferences.
        Contraception. 2018; 98: 359-360https://doi.org/10.1016/j.contraception.2018.07.094
        • Potter J
        • Stevenson A
        • Coleman-Minahan K
        • Hopkins K
        • White K.
        Challenging unintended pregnancy as an indicator of reproductive autonomy.
        Contraception. 2019; 100: 1-4https://doi.org/10.1016/j.contraception.2019.02.005.Challenging