Evidence map›Paper›PMID 36958531›Full record

ArticleAcademic pediatrics

Postpartum Family Planning in Pediatrics: A Survey of Parental Contraceptive Needs and Health Services Preferences.

Jayme L Congdon, Naomi S Bardach, Linda S Franck, Claire D Brindis, W J Boscardin, Zoe Carrasco, Michael D Cabana, Christine Dehlendorf

Abstract read
In one paragraph

Article in Academic pediatrics. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Expanding access to postpartum contraception.Current opinion in obstetrics & gynecology · 2024
    Review
  5. 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

8 authors.

Jayme L CongdonDepartment of Pediatrics and Philip R. Lee Institute for Health Policy Studies (JL Congdon and NS Bardach), University of California San Francisco. Electronic address: jayme.congdon@ucsf.edu.
Naomi S BardachDepartment of Pediatrics and Philip R. Lee Institute for Health Policy Studies (JL Congdon and NS Bardach), University of California San Francisco. Electronic address: naomi.bardach@ucsf.edu.
Linda S FranckDepartment of Family Health Care Nursing (LS Franck), University of California San Francisco, School of Nursing. Electronic address: linda.franck@ucsf.edu.
Claire D BrindisAdolescent and Young Adult Health National Resource Center and Philip R. Lee Institute for Health Policy Studies (CD Brindis), University of California, San Francisco. Electronic address: claire.brindis@ucsf.edu.
W J BoscardinDepartments of Medicine and Epidemiology and Biostatistics (WJ Boscardin), University of California San Francisco. Electronic address: john.boscardin@ucsf.edu.
Zoe CarrascoSchool of Nursing (Z Carrasco), University of California San Francisco. Electronic address: zoe.carrasco@ucsf.edu.
Michael D CabanaDepartment of Pediatrics (MD Cabana), Albert Einstein College of Medicine and the Children's Hospital at Montefiore (CHAM), Bronx, NY. Electronic address: mcabana@montefiore.org.
Christine DehlendorfDepartment of Family and Community Medicine (C Dehlendorf), University of California San Francisco. Electronic address: christine.dehlendorf@ucsf.edu.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
NCATS NIH HHS KL2 TR001870
6 · The paper itself

Abstract

objectiveInfant well-child visits are increasingly being explored as opportunities to address parental postpartum health needs, including those related to reproductive health. To inform potential pediatric clinic-based interventions, this study assessed postpartum contraceptive needs and health services preferences.

methodsWe surveyed postpartum individuals attending 2 to 6-month well-child visits at three Northern California pediatric clinics (2019-20). We examined unmet contraceptive needs; the acceptability of contraceptive education, counseling, and provision at well-child visits; and sociodemographic and clinical correlates. We conducted univariate and multivariable regression modeling to assess associations between sociodemographic and clinical variables, the status of contraceptive needs, and acceptability measures.

resultsStudy participants (n = 263) were diverse in terms of race and ethnicity (13% Asian, 9% Black, 37% Latinx, 12% Multi-racial or Other, 29% White), and socioeconomic status. Overall, 25% had unmet contraceptive needs. Unmet need was more common among participants who had delivered more recently, were multiparous, or reported ≥ 1 barrier to obtaining contraception; postpartum visit attendance, education, race, and ethnicity were not associated with unmet need. Most participants deemed the following acceptable in the pediatric clinic: receiving contraceptive information (85%), discussing contraception (86%), and obtaining a contraceptive method (81%). Acceptability of these services was greater among participants with unmet contraceptive needs, better self-rated health, and private insurance (all P < .05).

conclusionsA quarter of participants had unmet contraceptive needs beyond the early postpartum period. Most considered the pediatric clinic an acceptable place to address contraception, suggesting the pediatric clinic may be a suitable setting for interventions aiming to prevent undesired pregnancies and their sequelae.

Indexed as

ContraceptionFamily Planning ServicesHealth Services Needs and DemandPostpartum PeriodAdolescentAdultCaliforniaContraception BehaviorCounselingFemaleHumansInfantMalePatient PreferencePediatricsPostnatal Carecontraceptionfamily planninghealth services researchpediatricspostpartum

Identifiers

PMID36958531
PMCPMC11166476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.