Trial reportContraception2026
Assessing the association between a postpartum intrauterine device intervention and perceived pressure to adopt contraception in Sri Lanka.
Trial report in Contraception, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
OBJECTIVE(S): Traditional measures of success in family planning research focus on contraceptive uptake and use. Scholars have increasingly challenged these outcomes, calling for rights-based, person-centered measures that capture whether individuals can fulfill their reproductive preferences or desires. We sought to evaluate a family planning program using a novel, person-centered measure of perceived pressure to adopt contraception. STUDY
designWe use secondary data collected as part of the Postpartum Intrauterine Device (PPIUD) Study, a step-wedged, cluster-randomized trial of a provider-focused PPIUD intervention conducted in Sri Lanka from 2015 to 2018. We used logistic regression to assess the association between the PPIUD intervention and perceived pressure to adopt contraception at 18-month follow-up and converted estimates into risk differences.
resultsAbout 18 months following the PPIUD intervention, 13% of participants were not using contraception, most (82%) were using contraception and did not report feeling pressured to adopt their method, and 5% were using contraception and did report feeling pressured. While the PPIUD intervention was associated with increased contraceptive use, it was also associated with increased perceived pressure to adopt contraception (risk difference comparing intervention and control group: 4.5%; 95% confidence interval: -2.7%, 11.7%). Perceived pressure to adopt contraception was higher among IUD users compared to users of other contraceptive methods.
conclusionWhile expanding access to contraceptive methods - including the IUD - is imperative to promote choice in contraceptive decision-making, our findings highlight the importance of evaluating interventions not just based on use or uptake of specific contraceptive methods, but also using person-centered outcomes that capture reproductive autonomy. IMPLICATIONS: Evaluating family planning programs solely on contraceptive use overlooks critical aspects of reproductive autonomy. We find that a postpartum IUD intervention in Sri Lanka was associated with increased contraceptive use but also increased perceived pressure to adopt contraception. Our findings emphasize the importance of assessing programs using rights-based, person-centered measures.
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Registered trials
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