Postpartum Contraceptive Counseling
Conditions
Brief summary
This is a prospective randomized control trial in which we propose an intervention in the immediate post-partum period to educate women about contraceptive options, particularly long acting reversible contraception (LARC) methods with an aim of increasing the amount of women who choose a LARC method.
Detailed description
Eligible participants will be identified in the post-partum period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling which includes any prenatal counseling they received as well as information from the nurse practitioner that rounds on them in the post-partum period. The intervention group will also receive the standard of care contraceptive counseling but will also watch a 10 minute video created by the CHOICE project which counsels on different contraceptive options. Both groups will fill out a pre-intervention questionnaire as well as a post-intervention questionnaire 24hrs later. The primary outcome will be which type of contraception each woman chooses. The secondary outcomes will include determining if the women come to their post-partum visits as well as if they get the method of contraception they chose on the post-partum floor.
Interventions
BEHAVIORALInformation in the form of a video
see intervention description
Sponsors
University Hospitals Cleveland Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women giving birth at University Hospitals Case Medical Center * Patient of the Women's Health Center * Women delivering only one child * Women receiving contraceptive counseling from the nurse practitioner that cares for the postpartum unit
Exclusion criteria
* Severe neonatal complication at time of delivery (neonatal death, neonatal admission to the neonatal intensive care unit (NICU) except in cases of chorioamnionitis) * Severe maternal complication at time of delivery (patient requiring intensive care unit care, patient requiring hysterectomy at time of delivery) * Preterm delivery \<34 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Choice of contraceptive method | 24 hours post-intervention | Will be obtained through use of a questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return to clinic for postpartum visit | 12 weeks post-intervention | Will use ambulatory electronic medical record (EMR) to determine if patient returned to clinic for follow up visit. |
| Obtained desired method of contraception | 12 weeks post-intervention | Will use ambulatory EMR to determine if patient received her desired method of contraception. |
Countries
United States
Outcome results
None listed