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Comparison of a person-centered pregnancy prevention question and One Key Question to assess postpartum contraceptive
Jayme L Congdon1, Eric Vittinghoff2, Christine Dehlendorf3
1Department of Pediatrics and Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, United States.
Objectives:
To explore the relevance of pregnancy intention as a screen for contraceptive needs among postpartum individuals.
Study Design:
We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year and current desire to prevent pregnancy.
Results:
Most individuals (87%) desired pregnancy prevention now, including 73% of individuals who desired or were ambivalent about pregnancy in the next year.
Conclusion:
A majority of individuals considering pregnancy in the next year desired pregnancy prevention now. Directly assessing current desire to prevent pregnancy may be more specific for contraceptive needs in postpartum individuals.
Implications:
Our ability to ensure that all individuals who want to prevent pregnancy have access to contraception depends on the use of effective screening questions. These findings prompt consideration of broader clinical implementation of screening for desire to prevent pregnancy in lieu of questions about pregnancy intention in the next year.
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