Evidence map›Paper›PMID 32540241›Full record

ArticleContraception2020

Variation in effectiveness of planned postpartum contraception at two time points from prenatal to postpartum care.

Sayuli Bhide, Mustafa Ascha, Barbara Wilkinson, Emily Verbus, Mary Montague, Jane Morris, Kavita Shah Arora

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Sayuli BhideSchool of Medicine, Case Western Reserve University, Cleveland, OH, United States.
Mustafa AschaCleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, OH, United States.
Barbara WilkinsonSchool of Medicine, Case Western Reserve University, Cleveland, OH, United States.
Emily VerbusSchool of Medicine, Case Western Reserve University, Cleveland, OH, United States.
Mary MontagueSchool of Medicine, Case Western Reserve University, Cleveland, OH, United States.
Jane MorrisDepartment of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Kavita Shah AroraDepartment of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, United States. Electronic address: Kavita.Shah.Arora@gmail.com.
Case Western Reserve University · USMetroHealth Medical Center · US

Funding

Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
NCATS NIH HHS KL2 TR002547
6 · The paper itself

Abstract

objectiveTo identify characteristics of women who have consistent plans in terms of contraceptive effectiveness from antepartum to postpartum care. STUDY

designThis is a secondary analysis of a retrospective chart review of women who delivered at a single tertiary care center from 2012 to 2014. Preferred postpartum contraceptive plan was abstracted at three time points (prenatal care, hospital discharge, and outpatient postpartum care) and categorized into three tiers of effectiveness. We then examined consistency between the first two time points for the effectiveness in postpartum contraceptive method planned.

resultsOf the 8,394 women in the study cohort, 2,642 (31.5%) had a consistent postpartum contraceptive plan. Women who had a consistent plan were more likely to have higher parity (aOR 2.36, 95% CI 2.06-2.70 for parity 2+), choose highly effective methods of contraception (p < 0.001), achieve their contraception plan (adjusted odds ratio [aOR] 2.16, 95% confidence interval [95% CI] 1.85-2.52), but not more likely to have a subsequent pregnancy within 365 days of delivery (aOR 0.92, 95% CI 0.81-1.05).

conclusionBetter understanding contraceptive decision-making as a journey and removing external barriers during that process is a necessary component of pregnancy care. IMPLICATIONS: Counseling and documentation of contraceptive preferences throughout antepartum and postpartum care can help improve contraceptive outcomes.

Indexed as

Contraception BehaviorContraceptive Agents, FemalePostnatal CarePostpartum PeriodPrenatal CareAdultCesarean SectionContraceptionDecision MakingFemaleHumansPregnancyRetrospective StudiesContraceptive Agents, FemaleContraceptive counselingDecision-makingDisparityPostpartum contraception

Identifiers

PMID32540241
PMCPMC7572620
OpenAlexW3034422658

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.