Family Planning Counseling for Women With Chronic Medical Conditions in an Inpatient Setting

Sutter Health

Status: Terminated

Conditions: Chronic Disease

Treatments: Behavioral: Counseling; Behavioral: Flyer

Study type: Interventional

Funder types: Other

Identifiers

NCT05859087

Family14_SIMR_Spielvogel

Details and patient eligibility

About

Women with chronic medical conditions have been found in multiple studies to use birth control less often compared to women without chronic medical conditions. The investigators hypothesized that approaching women with chronic medical conditions who were admitted to the hospital and having a bedside conversation about pregnancy intention and counseling regarding birth control usage along with offering to start birth control before discharge would increase the use of birth control in this population. As a separate intervention, the investigators hypothesized that having a brief conversation with the participants and then giving them a flyer that recommended talking with their doctor about birth control could also increase the use of birth control in this population.

Enrollment: 76 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Currently admitted to the hospital
• Has one or more qualifying chronic medication conditions listed in their chart (hypertension, obesity with BMI>35, diabetes, current or history of breast cancer, rheumatoid arthritis, sickle cell disease, or lupus)

Exclusion criteria

• Currently pregnant
• Using surgical or non-surgical contraception
• Immediately post-partum or admitted to the gynecology service
• Non-English speaking
• Non-verbal or too ill to consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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76 participants in 3 patient groups

Bedside Family Planning Counseling

Experimental group

Description:

Patient is screened for pregnancy intention and then has a bedside family planning counseling session with the investigator taking into account pregnancy intention, medical conditions, medications, and previous contraception used. At the end of the conversation, if patient is desiring contraception, the patient is offered three contraception options (as appropriate for their medical conditions and paid for as part of the study) to be initiated prior to discharge: Etonogestrel implant, medroxyprogesterone 150 mg IM injection, or a year's supply of oral contraception pills.

Treatment:

Behavioral: Counseling

Flyer

Experimental group

Description:

Patient is given a flyer that recommends they discuss pregnancy intention and contraception with their OB/GYN or primary care physician.

Treatment:

Behavioral: Flyer

Routine care

No Intervention group

Description:

Patients receive a deception consent so as not to influence them by the consent process. Consent states that the purpose of the project is to study patterns of birth control usage of women admitted to the hospital. Patient is not given any further intervention.