Document Detail


Pregnancy intention and contraceptive use at six months postpartum among women with recent preterm delivery.
MedLine Citation:
PMID:  22834885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe pregnancy intention and contraceptive use among women with a recent delivery that occurred at 35 weeks gestation or fewer and who were enrolled in a large-scale randomized control trial.
DESIGN: In this descriptive study we used data from assessments conducted at 6 months postpartum as part of a randomized controlled clinical trial, the Philadelphia Collaborative Preterm Prevention Project (PCPPP).
PARTICIPANTS AND SETTING: Participants were recruited following a preterm birth (PTB) in one of the 12 urban birth hospitals. All women enrolled in PCPPP, who completed their 6-month postpartum assessment, and who were sexually active at the time of that assessment (n = 566), were included in the analysis.
METHODS: Data were collected during face-to-face interviews. Study questionnaires included questions about participants' plans for the timing of subsequent pregnancies, contraceptive behaviors, and other health variables.
RESULTS: Nearly all of the participants (90.1%, n = 509) reported they did not want to get pregnant within one year of the index PTB. However, more than one half of these women (54.6%) reported contraceptive practices of low or moderate effectiveness. Most predictive of intending another pregnancy within the year was the death of the index PTB infant (odds ratio [OR]= 18.2,95% confidence interval [CI] [8.9, 37.0]).
CONCLUSIONS: Discordant pregnancy intention and contraceptive use were reported among this group of mothers of PTB infants who are at particularly high risk for a poor outcome of any subsequent pregnancy. The findings highlight the need for further investigation of the causes, correlates, and consequences of discordant pregnancy intentions and contraceptive practices.
Authors:
Joan Rosen Bloch; David A Webb; Leny Mathew; Jennifer F Culhane
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  41     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2012 May-Jun
Date Detail:
Created Date:  2012-07-27     Completed Date:  2012-12-20     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  389-97     Citation Subset:  IM; N    
Copyright Information:
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Affiliation:
College of Nursing and Health Professions and School of Public Health, Drexel University, Philadelphia, PA 19102, USA. jrb68@drexel.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Contraception Behavior*
Family Planning Services*
Female
Humans
Intention*
Logistic Models
Multivariate Analysis
Obstetric Labor, Premature / prevention & control*
Pregnancy
Pregnancy, High-Risk
United States
Grant Support
ID/Acronym/Agency:
K23 NR010747/NR/NINR NIH HHS; K23-NR10747-2/NR/NINR NIH HHS
Comments/Corrections

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