Contraceptive Counseling in the Postpartum Period
1 other identifier
interventional
179
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 1, 2015
CompletedStudy Start
First participant enrolled
March 1, 2015
CompletedFirst Posted
Study publicly available on registry
March 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedJuly 6, 2022
June 1, 2022
2.8 years
March 1, 2015
June 30, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Choice of contraceptive method
Will be obtained through use of a questionnaire.
24 hours post-intervention
Secondary Outcomes (2)
Return to clinic for postpartum visit
12 weeks post-intervention
Obtained desired method of contraception
12 weeks post-intervention
Study Arms (2)
Control
NO INTERVENTIONPatients will receive current standard postpartum contraceptive counseling.
Intervention
EXPERIMENTALPatients will receive current standard postpartum contraceptive counseling and will be shown a 10 minute video from the CHOICE project which outlines the different contraceptive options
Interventions
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospitals Case Medical Center
Cleveland, Ohio, 44106, United States
Related Publications (15)
Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011 Nov;84(5):478-85. doi: 10.1016/j.contraception.2011.07.013. Epub 2011 Aug 24.
PMID: 22018121BACKGROUNDConde-Agudelo A, Rosas-Bermudez A, Kafury-Goeta AC. Effects of birth spacing on maternal health: a systematic review. Am J Obstet Gynecol. 2007 Apr;196(4):297-308. doi: 10.1016/j.ajog.2006.05.055.
PMID: 17403398BACKGROUNDThiel de Bocanegra H, Chang R, Howell M, Darney P. Interpregnancy intervals: impact of postpartum contraceptive effectiveness and coverage. Am J Obstet Gynecol. 2014 Apr;210(4):311.e1-311.e8. doi: 10.1016/j.ajog.2013.12.020. Epub 2013 Dec 13.
PMID: 24334205BACKGROUNDSecura GM, Allsworth JE, Madden T, Mullersman JL, Peipert JF. The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception. Am J Obstet Gynecol. 2010 Aug;203(2):115.e1-7. doi: 10.1016/j.ajog.2010.04.017. Epub 2010 Jun 11.
PMID: 20541171BACKGROUNDRose SB, Lawton BA. Impact of long-acting reversible contraception on return for repeat abortion. Am J Obstet Gynecol. 2012 Jan;206(1):37.e1-6. doi: 10.1016/j.ajog.2011.06.102. Epub 2011 Jul 13.
PMID: 21944222BACKGROUNDMadden T, Mullersman JL, Omvig KJ, Secura GM, Peipert JF. Structured contraceptive counseling provided by the Contraceptive CHOICE Project. Contraception. 2013 Aug;88(2):243-9. doi: 10.1016/j.contraception.2012.07.015. Epub 2012 Sep 5.
PMID: 22959396BACKGROUNDPeipert JF, Zhao Q, Allsworth JE, Petrosky E, Madden T, Eisenberg D, Secura G. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011 May;117(5):1105-1113. doi: 10.1097/AOG.0b013e31821188ad.
PMID: 21508749BACKGROUNDFiner LB, Jerman J, Kavanaugh ML. Changes in use of long-acting contraceptive methods in the United States, 2007-2009. Fertil Steril. 2012 Oct;98(4):893-7. doi: 10.1016/j.fertnstert.2012.06.027. Epub 2012 Jul 13.
PMID: 22795639BACKGROUNDRandel A. Guidelines for the use of long-acting reversible contraceptives. Am Fam Physician. 2012 Feb 15;85(4):403-4. No abstract available.
PMID: 22335322BACKGROUNDZuckerman B, Nathan S, Mate K. Preventing unintended pregnancy: a pediatric opportunity. Pediatrics. 2014 Feb;133(2):181-3. doi: 10.1542/peds.2013-1147. Epub 2014 Jan 27. No abstract available.
PMID: 24470643BACKGROUNDAmerican Academy of Pediatrics Committee on Adolescence: Contraception and adolescents. Pediatrics. 1990 Jul;86(1):134-8. No abstract available.
PMID: 2359670BACKGROUNDJones J, Mosher W, Daniels K. Current contraceptive use in the United States, 2006-2010, and changes in patterns of use since 1995. Natl Health Stat Report. 2012 Oct 18;(60):1-25.
PMID: 24988814BACKGROUNDStanwood NL, Bradley KA. Young pregnant women's knowledge of modern intrauterine devices. Obstet Gynecol. 2006 Dec;108(6):1417-22. doi: 10.1097/01.AOG.0000245447.56585.a0.
PMID: 17138775BACKGROUNDCwiak C, Gellasch T, Zieman M. Peripartum contraceptive attitudes and practices. Contraception. 2004 Nov;70(5):383-6. doi: 10.1016/j.contraception.2004.05.010.
PMID: 15504377BACKGROUNDHladky KJ, Allsworth JE, Madden T, Secura GM, Peipert JF. Women's knowledge about intrauterine contraception. Obstet Gynecol. 2011 Jan;117(1):48-54. doi: 10.1097/AOG.0b013e318202b4c9.
PMID: 21173643BACKGROUND
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2015
First Posted
March 5, 2015
Study Start
March 1, 2015
Primary Completion
December 1, 2017
Study Completion
March 1, 2018
Last Updated
July 6, 2022
Record last verified: 2022-06
Data Sharing
- IPD Sharing
- Will not share