| Pregnancy intention and contraceptive use at six months postpartum among women with recent preterm delivery. | |
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MedLine Citation:
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PMID: 22834885 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Joan Rosen Bloch; David A Webb; Leny Mathew; Jennifer F Culhane |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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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:
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Created Date: 2012-07-27 Completed Date: 2012-12-20 Revised Date: 2013-05-02 |
Medline Journal Info:
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Nlm Unique ID: 8503123 Medline TA: J Obstet Gynecol Neonatal Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 389-97 Citation Subset: IM; N |
Copyright Information:
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© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. |
Affiliation:
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College of Nursing and Health Professions and School of Public Health, Drexel University, Philadelphia, PA 19102, USA. jrb68@drexel.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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K23 NR010747/NR/NINR NIH HHS; K23-NR10747-2/NR/NINR NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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