Evidence map›Paper›PMID 31655067›Full record

ArticleContraception2020

Patient perceptions of immediate postpartum long-acting reversible contraception: A qualitative study.

Katharine Sznajder, Diana N Carvajal, Carolyn Sufrin

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Women's experiences with the post-placental intrauterine device: a qualitative study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Patients' Experiences with an Immediate Postpartum Long-Acting Reversible Contraception Program.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  9. Immediate Postpartum Long-Acting Reversible Contraception: Review of Insertion and Device Reimbursement Policies.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Katharine SznajderDepartment of Gynecology & Obstetrics, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Hospital, 4940 Eastern Ave, Rm A121, Baltimore 21224, MD, USA.
Diana N CarvajalDepartment of Family & Community Medicine, University of Maryland School of Medicine, 655 West Baltimore Street, Baltimore 21201, Maryland, USA.
Carolyn SufrinDepartment of Gynecology & Obstetrics, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Hospital, 4940 Eastern Ave, Rm A121, Baltimore 21224, MD, USA. Electronic address: csufrin@jhmi.edu.
Johns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

Treatment for Incarcerated Pregnant Women with Opioid Use Disorder: Implementaton Research on Medication Assisted Treatment in JailsK23DA045934 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SUFRIN, CAROLYN · 2018 to 2021
$883k
Development and Testing of a Point-of-Care Shared Decision-Making Tool for ProvidersK23HD096056 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI CARVAJAL, DIANA N · 2019 to 2023
$812k
NICHD NIH HHS K23 HD096056NIDA NIH HHS K23 DA045934
6 · The paper itself

Abstract

objectivesThe objective of this study was to explore perceptions and experiences of immediate postpartum long-acting reversible contraception (LARC) counseling and decision-making, with a focus on reproductive autonomy. We aimed to assess the potential for reproductive coercion. STUDY

designThis was a qualitative study using semi-structured interviews with Spanish and English speaking women who received an intrauterine device or contraceptive subdermal implant immediately postpartum. They were recruited before discharge from two hospitals in Baltimore, MD. We analyzed interviews using directed content analysis.

resultsWe interviewed a diverse group of 17 women. Participants praised the convenience of LARC and the ease of immediate postpartum placement. Some women reported feeling pushed by providers during counseling and were critical of their experiences. Women expressed a desire for comprehensive, objective information early and often during antepartum contraceptive counseling, and some valued counseling from multiple providers. They wanted autonomy in their contraceptive decision-making and described making internally motivated decisions based on their life goals and individual priorities.

conclusionsSome women felt pressured to choose immediate postpartum LARC, while others expressed enthusiasm for immediate postpartum LARC. Our data suggest that providers should start contraceptive counseling early in prenatal care and readdress it at multiple visits. Patients may benefit from speaking with multiple providers. IMPLICATIONS: Our study supports immediate postpartum LARC as a favorable contraceptive option for some women when discussed during prenatal care. Providers should take care to avoid coercion during counseling and focus on delivering comprehensive, objective information about all contraceptive methods, including side effects and removal options.

Indexed as

Patient SatisfactionAdultCounselingDecision MakingFemaleHumansLong-Acting Reversible ContraceptionPostpartum PeriodPregnancyPrenatal CareQualitative ResearchContraceptive counselingImmediate postpartum LARCLARCLong-acting reversible contraceptionPatient-centered outcomesQualitative research

Identifiers

PMID31655067
PMCPMC7137099
OpenAlexW2981768939

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.