The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Impact of having a high-risk pregnancy on future postpartum contraceptive method choice
Abstract
Background To compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research question Does a high-risk pregnancy condition affect future postpartum contraceptive method choice?Method Women hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.Findings A total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p<0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p=0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.Conclusion A high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods.
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“This finding diverges from recent observations in a developed country setting where personal history of pregnancy complications appeared to positively affect contraceptive choices [32].”
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Cites
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Selected practice recommendations for contraceptive use
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Intention to Become Pregnant and Low Birth Weight and Preterm Birth: A Systematic Review
Shah, P. S., Balkhair, T., Ohlsson, A., Beyene, J., Scott, F. E., & Frick, C. (2009) · Maternal and Child Health Journal · doi:10.1007/s10995-009-0546-2 · Cited by 342
Pregnancy Intention and Its Relationship to Birth and Maternal Outcomes
Mohllajee, A. P., Curtis, K., Morrow, B., & Marchbanks, P. A. (2007) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000255666.78427.c5 · Cited by 295
Strategies to prevent unintended pregnancy: increasing use of long-acting reversible contraception
Blumenthal, P. D., Voedisch, A. J., & Gemzell‐Danielsson, K. (2010) · Human Reproduction Update · doi:10.1093/humupd/dmq026 · Cited by 290
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Salisbury, P., Hall, L., Kulkus, S., Paw, M. K., Tun, N. W., Min, A. M., Chotivanich, K., Srikanok, S., Ontuwong, P., Sirinonthachai, S., et al. (2016) · Reproductive Health · doi:10.1186/s12978-016-0212-2 · Cited by 59
Metadata
- Authors
- Kiykac Altinbas, S., Bayoglu Tekin, Y., Dilbaz, B., Kilic, S., Khalil, S. S., & Kandemir, O.
- Affiliations
- Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi (TR)
- St. Luke's-Roosevelt Hospital Center (US)
- ORCID
- Dilbaz, Berna
- Venue
- Women and Birth
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 27
- Issue
- 4
- Pages
- 254-258
- ISSN
- 1871-5192 (ISSN-L)
- OpenAlex
- W2054130437
- Cited by
- 14
- References
- 21
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1 · 2021: 3 · 2017: 2 · 2016: 1 · 2015: 2
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Women and Birth (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Urology › Male Reproductive Health Studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- high-risk pregnancy, postpartum contraception, contraceptive choice, family planning, long-acting reversible contraception, copper intrauterine device, levonorgestrel-releasing intrauterine system, combined oral contraceptives, contraceptive counseling, ideal number of children
- MeSH terms
- Adult, Choice Behavior, Contraception, Contraception Behavior, Contraceptive Agents, Female, Contraceptive Devices, Female, Female, Humans, Health Knowledge, Attitudes, Practice, Pregnancy, Surveys and Questionnaires, Preconception Care, Pregnancy, High-Risk, Postpartum Period
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