Evidence map›Paper›PMID 39284638›Full record

SynthesisGlobal health, science and practice2024

Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis.

Ona L McCarthy, Nasser Fardousi, Vandana Tripathi, Renae Stafford, Karen Levin, Farhad Khan, Maxine Pepper, Oona M R Campbell

Abstract readSystematic Review
In one paragraph

Synthesis in Global health, science and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Ona L McCarthyLondon School of Hygiene & Tropical Medicine, London, United Kingdom. ona.mccarthy@lshtm.ac.uk.
Nasser FardousiLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Vandana TripathiEngenderHealth, MOMENTUM Safe Surgery in Family Planning and Obstetrics, Washington, DC, USA.
Renae StaffordEngenderHealth, MOMENTUM Safe Surgery in Family Planning and Obstetrics, Washington, DC, USA.
Karen LevinEngenderHealth, MOMENTUM Safe Surgery in Family Planning and Obstetrics, Washington, DC, USA.
Farhad KhanEngenderHealth, MOMENTUM Safe Surgery in Family Planning and Obstetrics, Washington, DC, USA.
Maxine PepperLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Oona M R CampbellLondon School of Hygiene & Tropical Medicine, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealth risks associated with short interpregnancy intervals, coupled with women's desires to avoid pregnancy following childbirth, underscore the need for effective postpartum family planning programs. The antenatal period provides an opportunity to intervene; however, evidence is limited on the effectiveness of interventions aimed at reaching women in the antenatal period to increase voluntary postpartum family planning in low- and middle-income countries (LMICs). This systematic review aimed to identify and describe interventions in LMICs that attempted to increase postpartum contraceptive use via contacts with pregnant women in the antenatal period.

methodsStudies published from January 2012 to July 2022 were considered if they were conducted in LMICs, evaluated an intervention delivered during the antenatal period, were designed to affect postpartum contraceptive use, were experimental or quasi-experimental, and were published in French or English. The main outcome of interest was postpartum contraceptive use within 1 year after birth, defined as the use of any method of contraception at the time of data collection. We searched EMBASE, Global Health, and Medline and manually searched the reference lists from studies included in the full-text screening.

resultsWe double-screened 771 records and included 34 reports on 31 unique interventions in the review. Twenty-three studies were published from 2018 on, with 21 studies conducted in sub-Saharan Africa. Approximately half of the study designs (n=16) were randomized controlled trials, and half (n=15) were quasi-experimental. Interventions were heterogeneous. Among the 24 studies that reported on the main outcome of interest, 18 reported a positive intervention effect, with intervention recipients having greater contraceptive use in the first year postpartum.

conclusionWhile the studies in this systematic review were heterogeneous, the findings suggest that interventions that included a multifaceted package of initiatives appeared to be most likely to have a positive effect.

Indexed as

Contraception BehaviorDeveloping CountriesFamily Planning ServicesPostpartum PeriodPrenatal CareContraceptionFemaleHumansPregnancy

Identifiers

PMID39284638
PMCPMC11521549

What OpenQuestion holds

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Registered trials

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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.