Journal article
Pregnancy Intention and Contraceptive Use at Six Months Postpartum Among Women With Recent Preterm Delivery
Journal of obstetric, gynecologic, and neonatal nursing, v 41(3), pp 389-397
May 2012
PMID: 22834885
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To describe pregnancy intention and contraceptive use among women with a recent delivery that occurred at 35 weeks gestation or fewer and who were enrolled in a large‐scale randomized control trial.
In this descriptive study we used data from assessments conducted at 6 months postpartum as part of a randomized controlled clinical trial, the Philadelphia Collaborative Preterm Prevention Project (PCPPP).
Participants were recruited following a preterm birth (PTB) in one of the 12 urban birth hospitals. All women enrolled in PCPPP, who completed their 6‐month postpartum assessment, and who were sexually active at the time of that assessment (n = 566), were included in the analysis.
Data were collected during face‐to‐face interviews. Study questionnaires included questions about participants’ plans for the timing of subsequent pregnancies, contraceptive behaviors, and other health variables.
Nearly all of the participants (90.1%, n = 509) reported they did not want to get pregnant within one year of the index PTB. However, more than one half of these women (54.6%) reported contraceptive practices of low or moderate effectiveness. Most predictive of intending another pregnancy within the year was the death of the index PTB infant (odds ratio [OR]= 18.2,95% confidence interval [CI] [8.9, 37.0]).
Discordant pregnancy intention and contraceptive use were reported among this group of mothers of PTB infants who are at particularly high risk for a poor outcome of any subsequent pregnancy. The findings highlight the need for further investigation of the causes, correlates, and consequences of discordant pregnancy intentions and contraceptive practices.
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Details
- Title
- Pregnancy Intention and Contraceptive Use at Six Months Postpartum Among Women With Recent Preterm Delivery
- Creators
- Joan Rosen Bloch - College of Nursing and Health Professions and School of Public Health, Drexel University, Philadelphia, PADavid A Webb - Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PALeny Mathew - Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PAJennifer F Culhane - Department of Pediatrics, School of Medicine, University of Pennsylvania, Philadelphia, PA
- Publication Details
- Journal of obstetric, gynecologic, and neonatal nursing, v 41(3), pp 389-397
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:000306476800008
- Scopus ID
- 2-s2.0-84864309107
- Other Identifier
- 991014877759604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing
- Obstetrics & Gynecology