Effectiveness of Counseling on Use of Postpartum Family Planning.

Assiut University

Status: Completed

Conditions: Contraceptive Usage

Treatments: Other: postpartum contraception method counselling

Study type: Interventional

Funder types: Other

Identifiers

NCT05079100

ECAUPFP

Details and patient eligibility

About

Family planning (FP) is the most supported, reasonable public health service to prevent both maternal and newborn mortality and decrease the risk of adverse maternal, perinatal, and infant outcomes. The World Health Organization's (WHO) recommend of waiting at least 2 years after a live birth before attempting the next pregnancy as short interval between pregnancies increase risk of preterm labor; low birth weight; fetal, early neonatal and infant death; and serious maternal outcomes.

Full description

So WHO recommends postpartum family planning (PPFP) for healthy birth spacing. PPFP is divided into three stages immediate: within 48 hours following delivery, early: within the first 6 weeks after delivery, late: within 12 months postpartum. Fertility can return as soon as 45 days after delivery for non-breastfeeding women, and among women who are not breastfeeding exclusively, fertility can return before the return of menses. Providing PPFP instantaneously following delivery may be likeable for women who prefer effective postpartum protection as the return of fertility may be hard to expect. So Promoting PPFP use was documented in different communities, interventions included conversational, SMS, brochure and video-based contraceptive education in antenatal or postnatal visits. However, the unmet need for FP is high in the postpartum period, ranging from 32 to 62% in low and middle-income countries depending on the definition used. that is why WHO recommends that all women should be offered counselling within 6 weeks postpartum so we will study the impact of post-partum counselling pre and post-discharge on intent and use of a reliable family planning method.

Enrollment: 120 patients

Sex: Female

Ages: 15 to 49 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Women who delivered in Women's Health hospitals, Assiut university hospitals.
2. Women in reproductive age (15 - 49 years).
3. Accepting to share in our study.

Exclusion criteria

1. Women diagnosed with mental problems or postpartum psychosis
2. Women with unstable hemodynamic status.
3. Women after Peripartum hysterectomy or tubal ligation.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

group of intervention (counseling)

Active Comparator group

Description:

the group will receive the contraception counseling

Treatment:

Other: postpartum contraception method counselling

group of control (no counseling)

No Intervention group

Description:

this group will not receive any counseling