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Effect of an educational script on postpartum contraceptive use: a randomized controlled trial
Jennifer H Tang1, Rosalie C Dominik2, Matthew L Zerden1
1Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC 27523, USA.
Contraception
|May 17, 2014
Summary
A postpartum educational script did not increase the use of long-acting reversible contraception (LARC). Future interventions should address educational and systematic barriers to postpartum contraceptive uptake.
Area of Science:
- Reproductive Health
- Obstetrics & Gynecology
- Public Health
Background:
- Short interpregnancy intervals are linked to adverse perinatal outcomes.
- Long-acting reversible contraception (LARC) can reduce short interpregnancy intervals.
- Postpartum LARC use is a key strategy for interval reduction.
Purpose of the Study:
- To evaluate if a postpartum educational script about LARC increases LARC utilization.
- To assess LARC uptake at the 6-week postpartum visit following an educational intervention.
Main Methods:
- A randomized controlled trial involving 800 postpartum women.
- Intervention group received a LARC educational script before discharge; control group did not.
- LARC use assessed via phone interviews after the 6-week postpartum visit.
Main Results:
- No significant difference in LARC utilization between the intervention (17.6%) and control (13.3%) groups (p=.103).
- The educational script did not lead to increased postpartum LARC use.
- High follow-up rates (92.3%) ensured robust data collection.
Conclusions:
- A postpartum LARC educational script did not improve LARC utilization.
- Future research should explore interventions addressing educational and systematic barriers to postpartum contraceptive uptake.
- Targeted interventions are needed to enhance postpartum contraceptive access and use.
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