Evidence map›Paper›PMID 34790897›Full record

ArticleObstetrics and gynecology research2021

Use of Postpartum Birth Control in Rural Women in Southwest Guatemala: Analysis of a Quality-Improvement Database.

Kathryn Feller, Claudia Rivera, Amy S Nacht, Saskia Bunge-Montes, Andrea Jimenez-Zambrano, Molly Lamb, Gretchen Heinrichs, Antonio Bolanos, Edwin Asturias, Sephen Berman and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Obstetrics and gynecology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

11 authors at 3 institutions in 2 countries.

Kathryn FellerUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Claudia RiveraFundación para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala.
Amy S NachtUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Saskia Bunge-MontesFundación para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala.
Andrea Jimenez-ZambranoUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Molly LambUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Gretchen HeinrichsDenver Health, Denver, Colorado, USA.
Antonio BolanosFundación para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala.
Edwin AsturiasUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Sephen BermanUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
Margo S HarrisonUniversity of Colorado Anschutz Medical Campus, Colorado, USA.
University of Colorado Anschutz Medical Campus · USCenter for the Study of Equity and Governance in Health Systems · GTDenver Health Medical Center · US

Funding

COLORADO WRHR CAREER DEVELOPMENT CENTERK12HD001271 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Saketh R Guntupalli · 1999 to 2026
$8.9M
NICHD NIH HHS K12 HD001271
6 · The paper itself

Abstract

objectiveOur objective was to observe the prevalence of postpartum contraceptive use in a population of rural women in Southwest Guatemala by type, and to determine characteristics associated with long-acting reversible contraceptive (LARC) use and sterilization.

methodsWe conducted a secondary analysis of prospectively collected quality improvement data from a cohort of postpartum women. We compared women intending to use or already using contraception to those not intending to utilize a method; bivariate comparisons were used to determine if there were differences in characteristics between these groups. If differences occurred (p < 0.2), those covariates were included in multivariable regression analyses to determine characteristics associated with use, and then specifically with LARC use and sterilization.

resultsIn a cohort of 424 women who were surveyed between 2015-2017, the average age was 23 years old, and the prevalence of use or plan to use postpartum contraception was 87.5%. Women with a parity of 2 - 3 were 10% more likely to use any form of postpartum birth control (RR 1.1, CI [1.01, 1.2]) compared to primiparous women. Women who were married were also more likely to use a postpartum method (RR > 10, CI [>10,>10]). The prevalence of LARC use was low (4.0%), and women were more likely to choose this method if they were employed (RR 3.5 CI [1.1, 11.3]).Regarding sterilization, women with a parity of greater than one compared to primiparous women had an increased likelihood of sterilization (RR 3.6 CI [2.5,4.9]); each year a woman aged was associated with a 10% increased likelihood of postpartum sterilization (RR 1.1 CI [1.01,1.08]). Women were also more likely to choose sterilization if delivered by a skilled birth attendant (RR 1.8 CI [1.1,2.9]) or by cesarean birth (RR 2.1 CI [1.4,3.1]).

conclusionIn this cohort, married women of higher parity were more likely to use postpartum contraception, with employed women more likely to use a LARC method. Older women of higher parity who were delivered by a skilled attendant by cesarean birth were the most likely to pursue sterilization.

Indexed as

GuatemalaPostpartum Birth Control

Identifiers

PMID34790897
PMCPMC8594879
OpenAlexW3208005992

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.