The value of an extended postnatal program for contraceptive use during the first year postpartum

Reproductive, Female and Child Health Pub Date : 2024-03-01 DOI:10.1002/rfc2.78

Kajsa S. Kedfors, Helena Hognert, Ian Milsom, Mattias Molin, Ingela Lindh

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Abstract

To investigate if earlier and repeated postpartum care visits (PPCVs) (3 and 7 weeks) compared to a standard visit (7 weeks) would increase early initiation of contraception and contraceptive use at 1‐year postpartum.Comparative clinical trial.Six maternity clinics in Gothenburg, Sweden.There were 447 women in the intervention group and 511 in the standard group.Comparing standard postpartum care with an intervention model of care.Initiation of contraception and method used.From January 2019 to June 2020, 1159, participants were enrolled. Analyses included 958 subjects where the intervention group had higher use of contraception (55.5%) compared to the standard group (48.5%), (95% confidence interval [CI]: 0.4–13.5), p = 0.037. Long‐acting reversible contraceptives were higher among users in the intervention group (56.9%) compared to the standard group (48%), (95% CI: −0.3 to 18.0), p = 0.059. Condom use was higher in the standard group (19%) compared to the intervention group (12.1%), (95% CI: 0.1–13.6), p = 0.047. Contraceptive use 1‐year postpartum was higher in the intervention group (55.7%) compared to the standard group (47.2%), (95% CI: 1.2–15.9), p = 0.023 and more pregnancies were reported in the standard group (7.8%) compared to the intervention group (4.1%), (95% CI: 0.5–7.0), p = 0.040.These results indicate the importance of earlier and additional PPCVs to increase early start‐up of contraception and to obtain a higher frequency of contraceptive use 1‐year postpartum to reduce pregnancies close to delivery.

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产后第一年延长避孕计划的价值

比较临床试验：瑞典哥德堡的六家产科诊所，干预组有 447 名妇女，标准组有 511 名妇女，比较标准产后护理与干预护理模式，开始避孕和使用的避孕方法：2019 年 1 月至 2020 年 6 月，共招募了 1159 名参与者。分析包括 958 名受试者，其中干预组的避孕率（55.5%）高于标准组（48.5%），（95% 置信区间 [CI]：0.4-13.5），P = 0.037。干预组长效可逆避孕药的使用率（56.9%）高于标准组（48%）（95% 置信区间[CI]：-0.3 至 18.0），P = 0.059。标准组避孕套使用率（19%）高于干预组（12.1%）（95% CI：0.1-13.6），p = 0.047。干预组产后 1 年的避孕药具使用率（55.7%）高于标准组（47.2%）（95% CI：1.2-15.9），p = 0.023；标准组（7.8%）的怀孕报告数高于干预组（4.1%）（95% CI：1.2-15.9），p = 0.023。这些结果表明，更早和更多地使用 PPCVs 对于增加早期开始避孕和提高产后 1 年避孕药具的使用频率以减少临近分娩时的妊娠具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Reproductive, Female and Child Health

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