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Unintended pregnancy is common among women of fertile age, and also among those who have recently given birth. A Swedish study has shown that about 7.7% experience a new pregnancy, and that 2.5% will have an abortion between 12-24 months from childbirth.
This is a prospective observational intervention study, aiming to evaluate the effects of structured contraceptive counseling during pregnancy on uptake of contraception postpartum and more specifically on long-acting reversible contraceptive methods, and to identify and explore the provider's and patient's experiences of structured contraceptive counseling during pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm | Experimental | Evidence-based intervention for SCC, previously evaluated in a cluster randomized trial (doi:10.1111/1471-0528.16754) The intervention for prepartum SCC will consist of four different parts, adjusted to suit pregnant women with emphasis on immediate start when applicable:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured contraceptive counseling | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Difference in proportions of LARC use 6 months postpartum among women receiving structured contraceptive counseling compared to standard care during pregnancy. | Percentage | 6 months post partum |
| Measure | Description | Time Frame |
|---|---|---|
| New pregnancy | Categorical (yes/no) | 6, 12, 18, and 24 months postpartum |
| Outcome of new pregnancy | Categorical (yes/no) for planing to keep; kept; misscarriage; ectopic pregnancy; planning abortion; had an abotion |
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Inclusion Criteria:
Exclusion Criteria:
- Language barrier that affects participation when an interpreter is not available, assisted fertilization, planned sterilization of partner, use of contraception for other purposes than pregnancy prevention.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Niklas Envall, PhD | Contact | +46704090925 | nen@du.se |
| Name | Affiliation | Role |
|---|---|---|
| Niklas Envall, PhD | Dalarna University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Health Care Region Dalarna | Recruiting | Falun | Sweden |
Upon request, de-identified data might be shared with other researchers that share the purpose of this trial
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Pregnant women will receive an intervention for structured contraceptive counseling from participating clinics. Follow-up will be through e-surveys at 6, 12, 18, and 24 months postpartum
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| 6, 12, 18, nd 24 months postpartum |
| Health Care Region Värmland | Recruiting | Karlstad | Sweden |
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| Health Care Region Örebro Län | Recruiting | Örebro | Sweden |
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| Health Care Region Uppsala | Recruiting | Uppsala | Sweden |
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