The Effect of the Bedsider.org Web Site on Contraceptive Use Within an Urban Gynecology Clinic [246

Abstract

INTRODUCTION: Use of effective contraception can reduce unplanned pregnancy; however, health care providers often have limited time to provide thorough contraceptive counseling during routine gynecologic visits. Directing patients to Bedsider.org, a web site providing contraception information and support, may improve contraceptive use. METHODS: Women aged 18–29 years presenting for a gynecology visit were randomized to receive a computer tablet with either Google or Bedsider set as the Internet homepage. Women were surveyed immediately after their visit and 1 month later regarding contraceptive knowledge and use. The primary outcome was contraceptive use at 1 month. RESULTS: Seventy-one participants enrolled and completed the initial survey, and 41 participants completed the 1-month follow-up survey. Although half of participants were randomized to the Google homepage, 95% of the patients who completed the follow-up survey viewed Bedsider during their initial visit, regardless of randomization group. At the initial survey, 75% of women reported they were currently trying to avoid pregnancy, but only 38% were using contraception. Of 41 participants who completed the 1-month follow-up survey, 90% reported using contraception. The most common method was the levonorgestrel intrauterine device (42.5%) followed by oral contraceptive pills (20%) and male condoms (17.5%). There were no differences between groups. CONCLUSION: Use of the Bedsider.org web site during gynecology clinic visits allows self-directed contraceptive education and may improve contraceptive prevalence among women at risk for unintended pregnancy.