Factors associated with postpartum contraceptive planning in New Zealand

Abstract

ObjectiveTo identify factors associated with contraceptive planning in the immediate postpartum period. Study designSurvey of those receiving inpatient postpartum care in two tertiary hospitals/associated birthing units (Auckland, New Zealand). Multivariable analyses using logistic regression examined independent predictors of contraceptive planning. ResultsOf 571 participants, those who recalled both antenatal and postpartum contraception discussions were more likely to have a contraceptive plan than those who recalled neither (aOR 5.6(2.8–11.5)). ConclusionBoth antenatal and postpartum contraceptive discussions are associated with postpartum contraceptive planning. ImplicationsBoth antenatal and postpartum discussions around contraception were independently associated with increased rates of established contraceptive plan postpartum, however patients who recalled both were more likely to have made a plan. Clinicians should provide multiple opportunities for discussing contraception throughout pregnancy and post-pregnancy to facilitate informed decision making.