Attention to postpartum contraception needed

Attention to postpartum contraception needed

(HealthDay)—Women in the postpartum period should receive counseling and access to contraceptive methods to promote optimal birth spacing, according to research published in the April issue of the American Journal of Obstetrics & Gynecology.

Heike Thiel de Bocanegra, Ph.D., M.P.H., of the University of California San Francisco School of Medicine in Sacramento, and colleagues analyzed data for a cohort of 117,644 low-income women from the 2008 California Birth Statistical Master file to assess the effect of access to contraception within 18 months after the index birth on interpregnancy interval.

The researchers found that, during the , most women received user-dependent hormonal contraceptives as their most effective contraceptive method (55 percent), and 33 percent of women had no contraceptive claim. Compared with women who used barrier only, the odds of achieving an optimal birth interval were 3.89 for women who used long-acting reversible contraceptive methods, 1.89 for those who used user-dependent hormonal methods, and 0.66 for those who used no method. For women who had user-dependent contraceptive methods, the odds of having an optimal birth interval increased by 8 percent for each additional month of contraceptive coverage.

"To achieve optimal and ultimately to improve birth outcomes, attention should be given to contraceptive counseling and access to contraceptive methods in the postpartum period," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Adjunct social media improves contraceptive knowledge

Mar 27, 2014

(HealthDay)—Use of social media in addition to standard contraceptive education is associated with improved patient contraceptive knowledge, according to research published in the April issue of Obstetrics & ...

Hormones, vaginal flora impact cervicovaginal lavage

Apr 01, 2014

(HealthDay)—Hormonal contraception use and vaginal flora all impact the properties of cervicovaginal lavage, according to a study published online March 24 in the American Journal of Obstetrics & Gynecology.

Recommended for you

Eating disorders linked to adverse perinatal outcomes

Oct 22, 2014

(HealthDay)—Maternal eating disorders are associated with adverse pregnancy, obstetric, and perinatal health outcomes, according to a study published in the October issue of the American Journal of Obstetrics & ...

Large variation in cesarean rates across US hospitals

Oct 21, 2014

Cesarean delivery is the most common inpatient surgery in the United States. US cesarean rates increased from 20.7% in 1996 to 32.9% in 2009 but have since stabilized, with 1.3 million American women having had a cesarean ...

User comments