Healthcare-related predictors of postnatal contraception uptake: a cross-sectional study

Healthcare-related predictors of postnatal contraception uptake: a cross-sectional study | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 26 February 2025 V1 Latest version Share on Healthcare-related predictors of postnatal contraception uptake: a cross-sectional study Authors : Malcolm Moffat 0000-0001-8808-2626 [email protected] , Robyn Jackowich , Christine Möller-Christensen , Caitlin Thompson , Claire Sullivan , and Judith Rankin Authors Info & Affiliations https://doi.org/10.22541/au.174056049.92437871/v1 153 views 82 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective To examine experiences of postnatal contraception (PNC) care in relation to healthcare professional (HCP) engagement during and after pregnancy in an English region. Design Cross-sectional online survey. Setting The North East and North Cumbria Integrated Care System (ICS). Population or Sample Women who had completed a pregnancy in the previous three years. Methods Uptake of PNC by accessed method(s) and availability of preferred method(s) are described, and adjusted odds ratios are reported for group differences in uptake by characteristics of interest. Main Outcome Measures Uptake of medically prescribed/administered contraception and uptake of long-acting reversible contraception (LARC) during the postnatal period, and access to preferred PNC methods. Results Uptake of the most effective PNC methods and access to preferred PNC methods were positively associated with HCP engagement. PNC counselling prior to a planned Caesarean section, providing PNC on the postnatal ward prior to discharge, offering health visitor discussions about PNC, and attending a specialist contraception/sexual health service during the postnatal period were found to be the most significant predictors of these outcomes after adjusting for potential confounders. PNC conversations with multiple HCPs, both antenatally and postnatally, were also found to be of value. Conclusions HCP engagement during and after pregnancy made a significant difference to experiences of PNC care for women in this sample. Expanding the availability of PNC counselling, and the availability of PNC provision in particular, may result in increased uptake of the most effective PNC methods. Supplementary Material File (bjog submission 2025 submitted 25.02.docx) Download 42.54 KB File (bjog submission 2025 table 1 submitted 25.02.docx) Download 22.07 KB File (bjog submission 2025 table 2 submitted 25.02.docx) Download 16.39 KB File (bjog submission 2025 table 3 submitted 25.02.docx) Download 15.99 KB File (bjog submission 2025 table 4 submitted 25.02.docx) Download 16.96 KB Information & Authors Information Version history V1 Version 1 26 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords contraception: epidemiology fertility control Authors Affiliations Malcolm Moffat 0000-0001-8808-2626 [email protected] Newcastle University View all articles by this author Robyn Jackowich Cardiff University School of Psychology View all articles by this author Christine Möller-Christensen Gateshead Health NHS Foundation Trust View all articles by this author Caitlin Thompson Newcastle University View all articles by this author Claire Sullivan Office for Health Improvement and Disparities View all articles by this author Judith Rankin Newcastle University View all articles by this author Metrics & Citations Metrics Article Usage 153 views 82 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Malcolm Moffat, Robyn Jackowich, Christine Möller-Christensen, et al. Healthcare-related predictors of postnatal contraception uptake: a cross-sectional study. Authorea . 26 February 2025. DOI: https://doi.org/10.22541/au.174056049.92437871/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. Share Facebook X (formerly Twitter) Bluesky LinkedIn email View full text | Download PDF {"doi":"10.22541/au.174056049.92437871/v1","type":"Article"} Now Reading: Share Figures Tables Close figure viewer Back to article Figure title goes here Change zoom level Go to figure location within the article Download figure Toggle share panel Toggle share panel Share Toggle information panel Toggle information panel Go to previous graphic Go to next graphic Go to previous table Go to next table All figures All tables View all material View all material xrefBack.goTo xrefBack.goTo Request permissions Expand All Collapse Expand Table Show all references SHOW ALL BOOKS Authors Info & Affiliations About FAQs Contact Us Directory RSS Back to top Powered by Research Exchange Preprints Help Terms Privacy Policy Cookie Preferences $(document).ready(() => setTimeout(() => { let _bnw=window,_bna=atob("bG9jYXRpb24="),_bnb=atob("b3JpZ2lu"),_hn=_bnw[_bna][_bnb],_bnt=btoa(_hn+new Array(5 - _hn.length % 4).join(" ")); $.get("/resource/lodash?t="+_bnt); },4000)); (function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'a00fc1924c1d300f',t:'MTc3OTY2MTk0NA=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();