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Postpartum contraceptive counseling varies widely in its provision; no standardized practice has been well-established by the literature. We intend to evaluate how directed postpartum contraceptive counseling to adolescents aged 14-19 affects key outcomes over time. Subjects will be randomized to receive either the standardized contraceptive counseling intervention or routine postpartum care. We will then assess the difference in repeat pregnancy rates between the two groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Routine Care | No Intervention | Routine postpartum contraceptive counseling | |
| Individual counseling | Experimental | Brief standardized contraceptive counseling intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief standardized contraceptive counseling intervention | Behavioral | The intervention employed an in-person counseling strategy that included empowerment messaging and an instrument to clarify the participants' preferences for contraception in the context of their goals for future childbearing. |
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome is repeat pregnancy rate | Repeat pregnancy rate of intervention and control groups will be assessed | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Contraceptive choice, use and continuation rates postpartum as well as contraceptive satisfaction rates | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Courtney A Schreiber, MD | University of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30470924 | Derived | Frarey A, Gurney EP, Sober S, Whittaker PG, Schreiber CA. Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial. Arch Gynecol Obstet. 2019 Feb;299(2):361-369. doi: 10.1007/s00404-018-4969-0. Epub 2018 Nov 23. |
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