Abstract

Introduction: Short interpregnancy interval increases maternal and infant morbidity. Improved postpartum contraceptive education and planning may reduce these risks by allowing adequate birth spacing. However, the readiness and acceptance of women to discuss contraception plans during pregnancy is unknown. Methods: A cross-sectional study was conducted of pregnant women between 25-35 6/7 weeks' gestation at the University of Iowa Hospitals and Clinics from February 2015 to July 2015. Patients were given a survey that assessed readiness, capability and confidence about discussing and choosing a postpartum contraception plan at a prenatal visit. Secondary outcomes examined previous contraception choices, breastfeeding goals and overall knowledge regarding postpartum contraception. Results: 238 subjects completed the survey prenatally at an average gestational age of 32 completed weeks (SD 2.9). While 73.4% planned to start contraception after delivery, 34.5% were unsure as to what method they would use. 65.5% of subjects were ready or very ready to discuss a contraception plan at their visit, 76.4% felt capable or very capable of choosing a postpartum contraception plan and 88.7% felt confident or very confident they would be able to use an effective method of birth control after having their baby. When asked if they felt ready to choose a postpartum contraception plan, 60.4% of women felt ready or very ready. Conclusion: While the majority of pregnant women plan to start postpartum contraception, most of these women have not identified a method. Therefore, the prenatal period is an optimal time to educate and discuss available contraception options as women are receiving regular healthcare.

Authors and Affiliations