Evidence map›Paper›PMID 36046227›Full record

ReviewOpen access journal of contraception2022

Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling.

Brooke W Bullington, Asha Sata, Kavita Shah Arora

Abstract readReview
In one paragraph

Review in Open access journal of contraception, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Leveraging Machine Learning to Uncover Ethnic-Specific Predictors of Maternal Postpartum Depression.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  2. Barriers and Needs for Postpartum Contraception.Maternal and child health journal · 2026
    Article
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  14. Promoting Shared Decision-making in Maternal Health Care.North Carolina medical journal · 2023
    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

3 authors.

Brooke W BullingtonDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, 27516, USA.
Asha SataDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, 27516, USA.
Kavita Shah AroraDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, 27516, USA.ORCID 0000-0002-9912-9466

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Multi-level factors affecting postpartum sterilizationR01HD098127 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ARORA, KAVITA SHAH · 2020 to 2023
$2.5M
NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD098127
6 · The paper itself

Abstract

There are multi-level barriers that impact uptake of postpartum contraception and result in disparities, including clinical barriers such as provider bias. Fortunately, clinicians have direct control over their contraceptive counseling practices, and thus reducing structural barriers is actionable through high quality contraceptive counseling that equips patients with the knowledge and guidance they need to fulfill their reproductive desires. Yet, many commonly employed contraceptive counseling strategies, like One Key Question and WHO tiered contraceptive counseling, are not patient-driven, do not account for the important nuances of contraceptive choices, and are not focused specifically on the postpartum period. Given the history of eugenics and reproductive coercion in the US, supporting patient through their contraceptive decision-making process is especially vital. Additionally, contraceptive preferences vary based on patient-level factors and fluctuate over time and counseling should account for such differences. Shared contraceptive decision-making occurs when patients provide input on their values, desires, and preferences and clinicians share medical knowledge and evidence-based information without judgement. This approach is considered the most ethically sound form of counseling, as it maximizes patient autonomy. Shared decision-making also has clinical benefits, including increased patient satisfaction. In sum, shared contraceptive decision-making should be universally adopted to promote ethical, high-quality care and reproductive autonomy.

Indexed as

contraceptive counselingpostpartum contraceptionshared decision-making

Identifiers

PMID36046227
PMCPMC9423116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.