Contraception, Counseling
Conditions
Keywords
Female Contraception, Education
Brief summary
The hypothesis of this study is to determine if distribution of a standardized educational handout on contraceptive options given to patients in the prenatal office setting will increase contraception use six months postpartum.
Detailed description
Reducing unintended pregnancies and those that are conceived within 18 months of a previous livebirth is an important health concern in the United States. Both unintended and close-interval pregnancies constitute 40% and 35% of pregnancies in the United States respectively with some overlap between the two categories and are associated with adverse maternal and fetal outcomes. A national survey found that 17.8% of women using 'less-effective' methods and 23% of women using no birth control became pregnant in ≤18 months2. Access to better contraception education could potentially decrease the proportion of unintended pregnancies and close-interval pregnancies. In addition to the health concerns, 58% of women in the US would like more information about contraceptive options, and organized handouts on birth control have been shown to contribute to the choice in birth control. However, there has been conflicting evidence about which educational methods increase postpartum contraception use. Therefore, the investigators propose a randomized controlled trial (RCT) that assesses whether a handout on contraception options increases postpartum birth control use. The control group would receive a nutrition handout, and the intervention group would receive a handout on birth control options in addition to each receiving the standard of care. The researchers would also give pre- and post-natal questionnaires, covering patient satisfaction, intention to use birth control, and how often a provider discusses birth control options.
Interventions
OTHERContraception Handout
Handout covering contraception options
OTHERNutritional Handout
Handout covering nutrition
Sponsors
Milton S. Hershey Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
Randomized controlled trial in which the intervention group will receive an educational handout on contraception and the control group will receive a handout on nutrition.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Women who are pregnant and are 24-28 weeks gestational age at the time of recruitment 2. Women \>18 years of age 3. Women with low-risk pregnancies
Exclusion criteria
1. Women who receive prenatal care by the Maternal Fetal Medicine department for high-risk pregnancies 2. Women who are members of an at-risk population including any women who is a prisoner, cannot provide consent, or is \<18 years of age 3. Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contraception Use | 8 weeks postpartum | Participants were sent a survey electronically at 8 weeks which asked the question Now that you have delivered, are you currently using birth control? (yes or no) The data table reflects the number who answered YES and the number who answered NO to this question per group. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Intervention Intervention group will receive educational handout on contraception.
Contraception Handout: Handout covering contraception options | 4 |
| Control Control group will receive educational handout on nutrition.
Nutritional Handout: Handout covering nutrition | 4 |
| Total | 8 |
Baseline characteristics
| Characteristic | Control | Total | Intervention |
|---|---|---|---|
| Age, Continuous | 27.0 years STANDARD_DEVIATION 5.1 | 27.1 years STANDARD_DEVIATION 5.6 | 27.3 years STANDARD_DEVIATION 6.9 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 2 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 3 Participants | 6 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) White | 4 Participants | 5 Participants | 1 Participants |
| Sex: Female, Male Female | 4 Participants | 8 Participants | 4 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 4 | 0 / 4 |
| other Total, other adverse events | 0 / 4 | 0 / 4 |
| serious Total, serious adverse events | 0 / 4 | 0 / 4 |
Outcome results
Primary
Contraception Use
Participants were sent a survey electronically at 8 weeks which asked the question Now that you have delivered, are you currently using birth control? (yes or no) The data table reflects the number who answered YES and the number who answered NO to this question per group.
Time frame: 8 weeks postpartum
Population: Subjects who completed the 8 week survey
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Intervention | Contraception Use | Reported YES to contraception use | 1 Participants |
| Intervention | Contraception Use | Reported NO to contraception use | 0 Participants |
| Control | Contraception Use | Reported YES to contraception use | 1 Participants |
| Control | Contraception Use | Reported NO to contraception use | 1 Participants |