Video Counseling for Effective Postpartum Contraception

Video Counseling for Effective Postpartum Contraception: a Randomized Clinical Trial

This is a randomized clinical trial to evaluate if the addition of long-acting reversible contraception (LARC) focused video-counseling during prenatal care increases uptake of postpartum LARC.

Eligible participants will be identified in the prenatal period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling during prenatal counseling. The intervention group will also receive the standard of care contraceptive counseling during prenatal care, but will also watch an evidence-based,12 minute LARC First video created by the CHOICE project which provides information on different contraceptive methods. All participants will receive information regarding access to free LARC methods in the postpartum period. All participants will be called at 12 weeks postpartum. Independent of randomization arm, they will all undergo a 5-minute survey by phone about contraceptive method choice and use.

Inclusion Criteria:

• woman presenting for routine prenatal care visit at University of North Carolina (UNC) Resident Continuity Clinic
• least 18 years old
• fluent in English
• able to read to a third-grade reading level
• not planning sterilization for postpartum contraception
• at least 28 weeks gestation at time of enrollment

Exclusion Criteria:

• those who do not meet the previously outlined inclusion criteria
• those who are unable to provide informed consent.