Prenatal contraceptive counseling and method provision after childbirth
Anita L Nelson Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA, USA Abstract: Postpartum contraception is undergoing major changes, not only in timing, but also in content. Failure to provide immediate postpartum contraception contributes to the problems of unint...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-05-01
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| Series: | Open Access Journal of Contraception |
| Online Access: | http://www.dovepress.com/prenatal-contraceptive-counseling-and-method-provision-after-childbirt-peer-reviewed-article-OAJC |
| _version_ | 1818413886918885376 |
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| author | Nelson AL |
| author_facet | Nelson AL |
| author_sort | Nelson AL |
| collection | DOAJ |
| description | Anita L Nelson Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA, USA Abstract: Postpartum contraception is undergoing major changes, not only in timing, but also in content. Failure to provide immediate postpartum contraception contributes to the problems of unintended pregnancies and rapid repeat pregnancy because often the highest-risk women do not return for postpartum care. If they do attend that visit, they have often lost the insurance coverage that would enable them to use the most effective forms of birth control. Most of the issues surrounding early initiation of progestin-only methods and breastfeeding have been favorably resolved. In some cases, insurance coverage for delivery has been expanded to cover the costs of providing intrauterine devices and implants before the woman is discharged home. All of these new opportunities shift the burden of counseling about postpartum contraception onto the shoulders of the prenatal care provider. This article provides information about the advantages and disadvantages of providing immediate postpartum contraception with each of the eligible methods so clinicians can provide the needed counseling both during pregnancy and during hospitalization for delivery. It also provides guidance for initiation of bridging contraception, if needed, to initiate a method for a woman later in the postpartum period. Keywords: postpartum contraception, counseling, breastfeeding, implants, IUDs, hormonal methods |
| first_indexed | 2024-12-14T11:10:20Z |
| format | Article |
| id | doaj.art-3984b295512449a6919f6a9d22198a9e |
| institution | Directory Open Access Journal |
| issn | 1179-1527 |
| language | English |
| last_indexed | 2024-12-14T11:10:20Z |
| publishDate | 2015-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Journal of Contraception |
| spelling | doaj.art-3984b295512449a6919f6a9d22198a9e2022-12-21T23:04:18ZengDove Medical PressOpen Access Journal of Contraception1179-15272015-05-012015default536321698Prenatal contraceptive counseling and method provision after childbirthNelson ALAnita L Nelson Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, CA, USA Abstract: Postpartum contraception is undergoing major changes, not only in timing, but also in content. Failure to provide immediate postpartum contraception contributes to the problems of unintended pregnancies and rapid repeat pregnancy because often the highest-risk women do not return for postpartum care. If they do attend that visit, they have often lost the insurance coverage that would enable them to use the most effective forms of birth control. Most of the issues surrounding early initiation of progestin-only methods and breastfeeding have been favorably resolved. In some cases, insurance coverage for delivery has been expanded to cover the costs of providing intrauterine devices and implants before the woman is discharged home. All of these new opportunities shift the burden of counseling about postpartum contraception onto the shoulders of the prenatal care provider. This article provides information about the advantages and disadvantages of providing immediate postpartum contraception with each of the eligible methods so clinicians can provide the needed counseling both during pregnancy and during hospitalization for delivery. It also provides guidance for initiation of bridging contraception, if needed, to initiate a method for a woman later in the postpartum period. Keywords: postpartum contraception, counseling, breastfeeding, implants, IUDs, hormonal methodshttp://www.dovepress.com/prenatal-contraceptive-counseling-and-method-provision-after-childbirt-peer-reviewed-article-OAJC |
| spellingShingle | Nelson AL Prenatal contraceptive counseling and method provision after childbirth Open Access Journal of Contraception |
| title | Prenatal contraceptive counseling and method provision after childbirth |
| title_full | Prenatal contraceptive counseling and method provision after childbirth |
| title_fullStr | Prenatal contraceptive counseling and method provision after childbirth |
| title_full_unstemmed | Prenatal contraceptive counseling and method provision after childbirth |
| title_short | Prenatal contraceptive counseling and method provision after childbirth |
| title_sort | prenatal contraceptive counseling and method provision after childbirth |
| url | http://www.dovepress.com/prenatal-contraceptive-counseling-and-method-provision-after-childbirt-peer-reviewed-article-OAJC |
| work_keys_str_mv | AT nelsonal prenatalcontraceptivecounselingandmethodprovisionafterchildbirth |