Development and Pilot Evaluation of an Educational Postpartum Contraception Video

To investigate the acceptability, feasibility, and efficacy of a novel video-based intervention designed for postpartum contraceptive education.

The research team created and field-tested the prototype for an educational video about postpartum contraception among 20 patient participants. The team then created the 8.5-minute video and piloted the educational intervention among 100 patient-participants on the postpartum ward of an urban tertiary care center. Participants were given a paper preintervention survey and after the video completed a survey querying acceptability and feasibility of incorporating into routine care, contraceptive knowledge, planned contraception, and perceived contraceptive knowledge. Physicians and nurses completed a survey evaluating the feasibility of incorporating the video into their workflow. Summary statistics were completed on demographic data. We compared prevideo and postvideo survey responses using paired t tests and two-sample t tests when the normality assumption was satisfied and Wilcoxon signed-rank tests and Wilcoxon rank-sum tests when it was not. P values were adjusted for multiple comparisons with the false discovery rate.

Of the 100 patients, median age was 30 years and a majority (n=61, 62.2%) self-identified as Black or African American. A majority (n=86, 86.9%) were extremely satisfied or satisfied with the video; 88.8% (n=87) reported the feasibility of including the video in routine care to be extremely likely or likely (data missing for some statistics). The postvideo survey demonstrated a significant increase in contraceptive knowledge, confidence in contraceptive knowledge, and satisfaction with chosen contraception (q<0.001). There was a nonstatistically significant trend in choosing more effective contraception (q=.117). Of the 19 physicians and nurses surveyed, 94.7% reported that the video did not disrupt workflow.

Incorporating an educational video about contraceptive options into immediate postpartum care was an effective intervention with minimal disruption to workflow.