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Success with oral contraceptives: a pilot study
Melissa Gilliam1, Sara Knight, Martin McCarthy
1Department of Obstetrics and Gynecology, McGaw Medical Center of Northwestern University Medical School, 820 South Wood Street MC 808, Chicago, IL 60612, USA. mgilli2@uic.edu
Contraception
|April 24, 2004
Summary
A postpartum educational intervention improved oral contraception (OCs) knowledge and use in young African American women. However, it did not decrease repeat pregnancies within one year.
Area of Science:
- Reproductive Health
- Public Health
- Obstetrics & Gynecology
Background:
- Unplanned pregnancies in young African American women are a significant public health concern.
- Postpartum contraceptive compliance is crucial for preventing rapid repeat pregnancies.
- Targeted interventions are needed to support contraceptive use in this demographic.
Purpose of the Study:
- To evaluate a multicomponent educational intervention for improving oral contraception (OCs) compliance.
- To assess the intervention's impact on reducing repeat pregnancies in young African American women post-unplanned pregnancy.
- To measure sustained knowledge of OCs over a 12-month period.
Main Methods:
- Pilot, longitudinal study involving 43 pregnant women.
- Randomization to either a multicomponent intervention (counseling, video, written materials) or usual care.
- Questionnaire data collected at multiple time points up to 1 year postpartum.
Main Results:
- The intervention group showed increased sustained knowledge of OCs.
- More women in the intervention group were using contraception and successfully switched methods at 1 year.
- No significant decrease in repeat pregnancies was observed in the intervention group compared to controls at 1 year.
Conclusions:
- The educational intervention effectively increased postpartum contraceptive knowledge and method switching.
- Further strategies are required to decrease repeat pregnancies among young, low-income African Americans with unintended pregnancies.
- Postpartum contraceptive compliance remains a challenge requiring enhanced support systems.
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