Structured Contraceptive Counseling During Pregnancy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Structured contraceptive counseling.
- Who it may be relevant to
- Registry conditions: Contraception, Intrauterine Device, Contraceptive Implant, Long-acting Reversible Contraception. Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Evaluating Effects of Prepartum Structured Contraceptive Counseling to Increase Postpartum Use of Long-acting Reversible Contraception
Overview
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.
Interventions
- Other Structured contraceptive counseling
1. Educational video - healthcare providers (Medical doctors and nurse-midwives)present available contraceptives that could be used after delivery, with emphasis on effectiveness, how they should be used, mechanism of action and health benefits. 2. The four key questions are to be asked to all pregnant women to make them reflect on factors that highly affects choice of contraceptives. 3. A tiered effectiveness chart will be used to visualize the effectiveness of different contraceptives, and gui
Primary outcome measures
- Difference in proportions of LARC use 6 months postpartum among women receiving structured contraceptive counseling compared to standard care during pregnancy. [Time frame: 6 months post partum]
Secondary outcome measures (2)
- New pregnancy [Time frame: 6, 12, 18, and 24 months postpartum]
- Outcome of new pregnancy [Time frame: 6, 12, 18, nd 24 months postpartum]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Sweden · 4 centers
- Health Care Region Dalarna — Falun
- Health Care Region Värmland — Karlstad
- Health Care Region Örebro Län — Örebro
- Health Care Region Uppsala — Uppsala
Identifiers
NCT: NCT05550064 · SPR1