Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives

Effect of Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives: a Randomized Controlled Trial

Unintended and closely spaced pregnancies are a major public health problem that affects not only the individuals directly involved but also the society indirectly. It increases the risks of infants with adverse outcomes such as preterm, low birth weight and small for gestational age. Pregnancy occurring within six months of the last delivery holds a 7.5-fold increased risk for induced abortion, a 3.3-fold increase in miscarriage and a 1.6-fold increased risk of stillbirth. But, use of contraceptive methods has been shown to reduce unwanted pregnancy, high fertility and maternal mortality rates.

Inclusion Criteria:

• Women who deliver a live birth at greater than 28 week's gestation.
• Women desire birth spacing for more than one year
• Women who were holding and /or one of her family hold a cell-phone and accept to receive messages and phone calls to remind her with her contraceptive program

Exclusion Criteria:

• Women who refuse to participate in the study.
• Women aren't able to respond to the questionnaire due to their health status.
• Anticipation of difficulty of subsequent communication with the women
• Women with contraindications of using long acting reversible contraception ( contraindicated if intrauterine device or implant use)