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Contraception provision in the postpartum period: Knowledge, views and practices of midwives.
Women Birth. 2021 Feb; 34(1):e1-e6.WB

Abstract

BACKGROUND

Women are susceptible to unintended pregnancies in the first year after giving birth, particularly as consideration of contraception may be a low priority during this time. Discussing and providing contraception before women leave hospital after giving birth may prevent rapid repeat pregnancy and its associated risks. Midwives are well placed to assist with contraceptive decision-making and provision; however, this is not routinely undertaken by midwives in the Australian hospital setting and little is known regarding their views and experiences in relation to contraception.

METHODS

An anonymous survey was conducted with midwives at two urban hospitals in New South Wales to better understand their contraceptive knowledge, views and practices regarding midwifery-led contraception provision in the postpartum period.

FINDINGS

The survey was completed by 128 midwives. Most agreed that information about contraception provided in the postpartum period is valuable to women, although their knowledge about different methods was variable. The majority (88%) believed that midwives have a role in providing contraceptive information, and 79% reported currently providing contraceptive counselling. However, only 14% had received formal training in this area.

CONCLUSION

Findings demonstrate that most midwives provide some contraception information and believe this is an important part of a midwife's role. Yet most have not undertaken formal training in contraception. Additional research is needed to explore the content and quality of midwives' contraception discussions with women. Training midwives in contraceptive counselling would ensure women receive accurate information about available options. Upskilling midwives in contraception provision may increase postpartum uptake and reduce rapid repeat pregnancies.

Authors+Show Affiliations

Family Planning NSW, Ashfield, Australia. Electronic address: jessicab@fpnsw.org.au.Canterbury Hospital, SLHD, Australia.Royal Prince Alfred Hospital, SLHD, Australia.Sydney Local Health District, Australia.Family Planning NSW, Ashfield, Australia; University of Sydney, Australia.Family Planning NSW, Ashfield, Australia.Family Planning NSW, Ashfield, Australia; University of Sydney, Australia.Royal Prince Alfred Hospital, SLHD, Australia; University of Sydney, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32912738

Citation

Botfield, Jessica R., et al. "Contraception Provision in the Postpartum Period: Knowledge, Views and Practices of Midwives." Women and Birth : Journal of the Australian College of Midwives, vol. 34, no. 1, 2021, pp. e1-e6.
Botfield JR, Tulloch M, Contziu H, et al. Contraception provision in the postpartum period: Knowledge, views and practices of midwives. Women Birth. 2021;34(1):e1-e6.
Botfield, J. R., Tulloch, M., Contziu, H., Phipps, H., Bateson, D., Wright, S. M., McGeechan, K., & Black, K. I. (2021). Contraception provision in the postpartum period: Knowledge, views and practices of midwives. Women and Birth : Journal of the Australian College of Midwives, 34(1), e1-e6. https://doi.org/10.1016/j.wombi.2020.07.013
Botfield JR, et al. Contraception Provision in the Postpartum Period: Knowledge, Views and Practices of Midwives. Women Birth. 2021;34(1):e1-e6. PubMed PMID: 32912738.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contraception provision in the postpartum period: Knowledge, views and practices of midwives. AU - Botfield,Jessica R, AU - Tulloch,Melanie, AU - Contziu,Hannah, AU - Phipps,Hala, AU - Bateson,Deborah, AU - Wright,Sarah M, AU - McGeechan,Kevin, AU - Black,Kirsten I, Y1 - 2020/09/08/ PY - 2020/02/10/received PY - 2020/06/23/revised PY - 2020/07/23/accepted PY - 2020/9/12/pubmed PY - 2021/2/9/medline PY - 2020/9/11/entrez KW - Contraception KW - Long-acting reversible contraception KW - Midwife KW - Postpartum period SP - e1 EP - e6 JF - Women and birth : journal of the Australian College of Midwives JO - Women Birth VL - 34 IS - 1 N2 - BACKGROUND: Women are susceptible to unintended pregnancies in the first year after giving birth, particularly as consideration of contraception may be a low priority during this time. Discussing and providing contraception before women leave hospital after giving birth may prevent rapid repeat pregnancy and its associated risks. Midwives are well placed to assist with contraceptive decision-making and provision; however, this is not routinely undertaken by midwives in the Australian hospital setting and little is known regarding their views and experiences in relation to contraception. METHODS: An anonymous survey was conducted with midwives at two urban hospitals in New South Wales to better understand their contraceptive knowledge, views and practices regarding midwifery-led contraception provision in the postpartum period. FINDINGS: The survey was completed by 128 midwives. Most agreed that information about contraception provided in the postpartum period is valuable to women, although their knowledge about different methods was variable. The majority (88%) believed that midwives have a role in providing contraceptive information, and 79% reported currently providing contraceptive counselling. However, only 14% had received formal training in this area. CONCLUSION: Findings demonstrate that most midwives provide some contraception information and believe this is an important part of a midwife's role. Yet most have not undertaken formal training in contraception. Additional research is needed to explore the content and quality of midwives' contraception discussions with women. Training midwives in contraceptive counselling would ensure women receive accurate information about available options. Upskilling midwives in contraception provision may increase postpartum uptake and reduce rapid repeat pregnancies. SN - 1878-1799 UR - https://www.unboundmedicine.com/medline/citation/32912738/Contraception_provision_in_the_postpartum_period:_Knowledge_views_and_practices_of_midwives_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1871-5192(20)30311-5 DB - PRIME DP - Unbound Medicine ER -