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Prenatal Contraceptive Counseling by Video
S Allison Staley1, Samantha S Charm1, Laurel B Slough1
1From the Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill.
Southern Medical Journal
|January 5, 2019
Summary
Video counseling on long-acting reversible contraception (LARC) during prenatal care did not significantly increase postpartum LARC use. However, it improved overall contraceptive knowledge and was highly accepted by patients.
Area of Science:
- Reproductive Health
- Contraception
- Public Health
Background:
- Effective postpartum contraception is crucial for improving interpregnancy intervals.
- Prenatal care offers opportunities for contraceptive counseling and education.
- Few studies have explored multimedia tools for enhancing long-acting reversible contraception (LARC) use postpartum.
Purpose of the Study:
- To evaluate if LARC-focused video counseling during prenatal care increases postpartum LARC uptake.
- To assess the impact of video counseling on overall postpartum contraception use.
Main Methods:
- A randomized controlled trial was conducted with women receiving prenatal care.
- Participants were assigned to either LARC-focused video counseling plus routine care or routine care alone.
- The primary outcome was LARC uptake by 12 weeks postpartum.
Main Results:
- LARC use increased from 6% to 39.4% in the video group versus 29.4% in the control group (not statistically significant).
- Overall contraceptive use and postpartum visit attendance were higher in the video group but not statistically significant.
- Video counseling demonstrated high acceptability (95.2%) and was perceived as a good use of appointment time (92%).
Conclusions:
- Video-based contraceptive counseling did not significantly increase postpartum LARC uptake compared to routine care alone.
- The intervention led to a 32% increase in LARC use across the entire cohort.
- Patients reported high acceptability and improved contraceptive knowledge, suggesting video counseling can be a valuable adjunct in clinical settings.
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