Structured Contraceptive Counseling During Pregnancy

Dalarna University

Status: Enrolling

Conditions: Contraception; Long-acting Reversible Contraception; Counseling; Contraceptive Implant; Intrauterine Device

Treatments: Other: Structured contraceptive counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT05550064

SPR1

Details and patient eligibility

About

Unintended pregnancy is common among women of fertile age, and also among those who have recently given birth. A Swedish study has shown that about 7.7% experience a new pregnancy, and that 2.5% will have an abortion between 12-24 months from childbirth.

This is a prospective observational intervention study, aiming to evaluate the effects of structured contraceptive counseling during pregnancy on uptake of contraception postpartum and more specifically on long-acting reversible contraceptive methods, and to identify and explore the provider's and patient's experiences of structured contraceptive counseling during pregnancy.

Enrollment: 160 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years or older, gestational week 30 or more, need for contraception 6 months or more after delivery

Exclusion criteria

- Language barrier that affects participation when an interpreter is not available, assisted fertilization, planned sterilization of partner, use of contraception for other purposes than pregnancy prevention.

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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160 participants in 1 patient group

Intervention arm

Experimental group

Description:

Evidence-based intervention for SCC, previously evaluated in a cluster randomized trial (doi:10.1111/1471-0528.16754) The intervention for prepartum SCC will consist of four different parts, adjusted to suit pregnant women with emphasis on immediate start when applicable: 1. An educational video presenting available contraceptive methods 2. 4 Key questions concerning how to deal with a new pregnancy, reproductive life plan, and additional health benefits from using contraception. 3. A tiered effectiveness chart of available contraceptives 4. A box of contraceptive models

Treatment:

Other: Structured contraceptive counseling