TY - JOUR
T1 - Postpartum Family Planning in Pediatrics
T2 - A Survey of Parental Contraceptive Needs and Health Services Preferences
AU - Congdon, Jayme L.
AU - Bardach, Naomi S.
AU - Franck, Linda S.
AU - Brindis, Claire D.
AU - Boscardin, W. J.
AU - Carrasco, Zoe
AU - Cabana, Michael D.
AU - Dehlendorf, Christine
N1 - Publisher Copyright:
© 2023 Academic Pediatric Association
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Objective: Infant 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. Methods: We 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. Results: Study 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). Conclusions: A 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.
AB - Objective: Infant 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. Methods: We 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. Results: Study 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). Conclusions: A 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.
KW - contraception
KW - family planning
KW - health services research
KW - pediatrics
KW - postpartum
UR - http://www.scopus.com/inward/record.url?scp=85159329886&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85159329886&partnerID=8YFLogxK
U2 - 10.1016/j.acap.2023.03.009
DO - 10.1016/j.acap.2023.03.009
M3 - Article
C2 - 36958531
AN - SCOPUS:85159329886
SN - 1876-2859
VL - 23
SP - 1417
EP - 1425
JO - Academic Pediatrics
JF - Academic Pediatrics
IS - 7
ER -