Evidence map›Paper›PMID 39428903›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2025

Planning postpartum contraception for women with substance use disorders: Utilisation of the birth admission.

Kelly A McNamara, Kirsten Black, Oliver Bond, Bridin Murnion, Adrienne Gordon, Joanne Ludlow, Natasha Nassar

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Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kelly A McNamaraFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-7512-1072
Kirsten BlackFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-0030-2431
Oliver BondFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Bridin MurnionFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Adrienne GordonFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-2328-1066
Joanne LudlowRPA Women's and Babies, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Natasha NassarChild Population and Translational Health Research, Children's Hospital, Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Funding

Royal Australian and New Zealand College of Obstetricians and Gynaecologists
6 · The paper itself

Abstract

backgroundWomen with substance use disorders (SUD) use less contraception, and experience higher rates of unintended pregnancy, compared to women without SUD. Contraception is discussed at the six-week postnatal appointment, which many women with SUD do not attend. Therefore, it is important women have the opportunity to formulate contraception plans before discharge from the birth admission.

aimsTo assess postpartum contraception plans, including initiation and method of interest, among women with SUD and compare these to women without SUD. MATERIALS AND

methodsAll births from January 2011 to September 2019 from one New South Wales local health district were analysed. Data included maternal demographics, SUD, and contraception plans. Chi-squared statistics and multivariate multinomial regression analyses were used to compare outcomes for women with and without SUD.

resultsOf 59 195 mothers, 429 (0.7%) had a SUD. There were 50.1% of women with SUD and 56.2% without SUD (P = 0.03) who had no documented plan for contraception. There were 37.3% of women with SUD and 42.4% without SUD (P = 0.06) who had a prescription for contraception or a referral to discuss contraception. There were 12.5% of women with SUD and 1.4% without SUD (P < 0.001) who initiated contraception in hospital.

conclusionsAlthough postpartum contraception initiation was higher among women with SUD, half of all women (with or without SUD) were discharged without a plan for contraception initiation. Embedding provision of postpartum contraception into maternity care, or investigating other opportunities, may improve access for all women, including those with SUD.

Indexed as

ContraceptionPostnatal CarePostpartum PeriodSubstance-Related DisordersAdolescentAdultFemaleHumansNew South WalesPregnancyYoung Adultcontraceptionpostpartumsubstance related disordersunplanned pregnancy

Identifiers

PMID39428903
PMCPMC12099176

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