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Factors associated with postpartum contraceptive planning in New Zealand
Jordon Wimsett1, Emelia Legget2, Helen Roberts3
1Department of Obstetrics and Gynaecology, Middlemore Hospital, Auckland, New Zealand.
Objective:
To identify factors associated with contraceptive planning in the immediate postpartum period.
Study Design:
Survey of those receiving inpatient postpartum care in two tertiary hospitals/associated birthing units (Auckland, New Zealand). Multivariable analyses using logistic regression examined independent predictors of contraceptive planning.
Results:
Of 571 participants, those who recalled both antenatal and postpartum contraception discussions were more likely to have a contraceptive plan than those who recalled neither (aOR 5.6(2.8-11.5)).
Conclusion:
Both antenatal and postpartum contraceptive discussions are associated with postpartum contraceptive planning.
Implications:
Both antenatal and postpartum discussions around contraception were independently associated with increased rates of established contraceptive plan postpartum, however patients who recalled both were more likely to have made a plan. Clinicians should provide multiple opportunities for discussing contraception throughout pregnancy and post-pregnancy to facilitate informed decision making.
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