Post-Partum Contraception; Does Standardized Video Counseling Increase Long Acting Reversible Contraceptive Use [2R]

• Published in: Obstetrics and gynecology (New York. 1953) Vol. 133 Suppl 1; no. 1; pp. 191S - 192S
• Main Authors: McGregor, Ali, Hackney, David, Ugwuegbu, Obinna, Akesson, Cydni, Perriera, Lisa
• Format: Journal Article
• Language: English
• Published: by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved 01.05.2019
• ISSN: 0029-7844; 1873-233X
• DOI: 10.1097/01.AOG.0000559461.88699.d6

INTRODUCTION:To assess if a standardized contraceptive counseling video increases selection of long acting reversible contraceptive (LARC) methods in the immediate postpartum period. METHODS:This randomized control trial assessed postpartum contraceptive choices of women receiving care at an urban clinic. On postpartum day 1, after consenting to participation, women were surveyed regarding contraceptive and breastfeeding plans, and were randomly assigned to watch a 10 minute standardized video about contraceptive options or to receive standard postpartum care. They completed a follow-up survey on postpartum day 2 to assess contraceptive choice. Chart review was completed 12 weeks postpartum to determine postpartum visit attendance and contraceptive method received. We estimated a sample size of 238 to have 90% power with an alpha of 0.05 to detect a 20% difference in LARC selection. RESULTS:We enrolled 127 women in the intervention group and 123 women in the control group with 38.1% and 33.3% choosing LARC methods respectively (P=0.58). There was also no significant difference in the percentage that returned for a postpartum visit (P=0.43), or that received a LARC method (P=1.0). The majority of women did not change their contraception choice between surveys 1 and 2, and 32.5% patients entered the study already wanting a LARC method. CONCLUSION:Watching a standardized contraceptive counseling video in the postpartum period did not increase the number of patients who chose a LARC method. Selection of contraceptive methods during antenatal care may have a higher impact on utilization of an effective method in this patient population.