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Related Experiment Videos

Peripartum contraceptive attitudes and practices.

Carrie Cwiak1, Tara Gellasch, Miriam Zieman

  • 1Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA 30303, USA. ccwiak@emory.edu

Contraception
|October 27, 2004
PubMed
Summary

Pregnancy and postpartum significantly shift women's contraceptive needs. Many women desire long-term methods like intrauterine devices after childbirth, prioritizing reliability and safety.

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Area of Science:

  • Reproductive Health
  • Maternal Health
  • Contraception

Background:

  • Women's contraceptive needs and preferences often change during the peripartum period.
  • Limited research exists specifically on the peripartum population's attitudes toward postpartum contraception.
  • Existing contraceptive methods may not meet the needs of all women, leading to dissatisfaction.

Purpose of the Study:

  • To survey pregnant and postpartum women regarding their attitudes toward postpartum contraception.
  • To understand contraceptive priorities and desires in relation to the index pregnancy.
  • To assess awareness and interest in different contraceptive methods, including long-acting reversible contraceptives (LARCs).

Main Methods:

  • Survey administered to currently pregnant and postpartum women.

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  • Data collected on attitudes toward contraception, method satisfaction, and desired changes post-delivery.
  • Inquiry into awareness of specific contraceptive methods, such as intrauterine contraception.

    • Main Results:

    • Over 80% of women used contraception before pregnancy, with nearly 20% dissatisfied.
    • Pregnancy dissatisfaction was higher for unplanned pregnancies (36% vs. 9%).
    • Over 40% desired a change in contraceptive method after delivery; 65% had limited information on intrauterine contraception.

    Conclusions:

    • Childbirth significantly influences women's contraceptive priorities, with a notable shift towards long-term methods.
    • There is a substantial unmet need and desire for effective postpartum contraception.
    • Increased education on methods like intrauterine contraception is crucial for informed decision-making.