Document Detail


Success with oral contraceptives: a pilot study.
MedLine Citation:
PMID:  15105065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this pilot study was to examine the effectiveness of a postpartum educational intervention aimed at increasing compliance with oral contraception (OCs) and decreasing repeat pregnancies in young, African American women in the year following an unplanned pregnancy. In this longitudinal study, 43 young, pregnant women attending Prentice Ambulatory Care, Northwestern Hospital, were enrolled and 33 were randomized to receive an antepartum, multicomponent intervention consisting of counseling, a videotape about OCs and written material or resident-physician counseling (usual care). Questionnaire data were collected at enrollment, immediately following the intervention, at 6 weeks, 6 months and 12 months. At 1 year, 25 women remained in the study. More women in the intervention group were not pregnant and still using contraception, and were able to successfully switch contraceptive methods compared to women in the control group. There was no decrease in repeat pregnancy in the intervention group at 1 year compared to the control group. Our intervention resulted in a sustained increase in knowledge of OCs throughout the study period. However, more is needed to promote postpartum contraceptive compliance and decrease repeat pregnancies in young, low-income African Americans with unintended pregnancies.
Authors:
Melissa Gilliam; Sara Knight; Martin McCarthy
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Contraception     Volume:  69     ISSN:  0010-7824     ISO Abbreviation:  Contraception     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-04-23     Completed Date:  2004-08-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  United States    
Other Details:
Languages:  eng     Pagination:  413-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, McGaw Medical Center of Northwestern University Medical School, 820 South Wood Street MC 808, Chicago, IL 60612, USA. mgilli2@uic.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
Contraceptives, Oral, Combined*
Female
Humans
Illinois
Longitudinal Studies
Patient Compliance* / ethnology
Patient Education as Topic
Pilot Projects
Postnatal Care
Pregnancy
Pregnancy Rate
Questionnaires
Videotape Recording
Chemical
Reg. No./Substance:
0/Contraceptives, Oral, Combined

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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