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Impact of Prenatal Group Healthy Relationship Education on Postpartum Contraception.
Mazzoni, Sara E; O'Reilly Treter, Maggie; Hyer, Jennifer; Peña, Rachel; Rhoades, Galena K.
Afiliación
  • Mazzoni SE; Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA.
  • O'Reilly Treter M; Department of Psychology, University of Denver, Denver, Colorado, USA.
  • Hyer J; Department of Obstetrics and Gynecology, Denver Health and Hospital, Denver, Colorado, USA.
  • Peña R; Department of Obstetrics and Gynecology, Denver Health and Hospital, Denver, Colorado, USA.
  • Rhoades GK; Department of Psychology, University of Denver, Denver, Colorado, USA.
Womens Health Rep (New Rochelle) ; 4(1): 148-153, 2023.
Article en En | MEDLINE | ID: mdl-37008185
Objective: We aimed to evaluate the impact of an antenatal group healthy relationship education program on the postpartum use of long-acting reversible contraception (LARC). Materials and Methods: This is a planned subgroup analysis of a larger randomized controlled trial. Pregnant and newly parenting women were randomized to either group healthy relationship education, "MotherWise," or no additional services. An evidence-based healthy relationship education program and individual case management sessions were provided. The program did not include any prenatal care or contraception counseling. This subgroup analysis included those participants with a nonanomalous gestation randomized at <40 weeks who received care and delivered at a single safety-net hospital and were discharged home with a live infant(s). Results: From September 2, 2016 to December 21, 2018, 953 women were randomized in the larger trial; 507 met inclusion criteria for this study; 278 randomized to program and 229 controls. Participants were mostly young, parous, Hispanic, publicly insured women. Participants randomized to program were more likely to take a prescription medicine and be delivered through cesarean; there were not any other significant differences in baseline, antenatal, or perinatal outcomes. Those randomized to program were more likely to be discharged home with immediate postpartum LARC in place (odds ratio [OR] 1.87; confidence interval [CI] 1.17-3.00), and more likely to be using LARC at the postpartum visit (OR 2.19; CI 1.34-3.56). Conclusion: Antenatal group healthy relationship education provided separately from prenatal care is associated with a twofold increase in the use of postpartum LARC. Clinical Trial Registration: ClinicalTrials.gov NCT02792309; https://clinicaltrials.gov/ct2/show/NCT02792309?term=NCT02792309&draw=2&rank=1.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Womens Health Rep (New Rochelle) Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Womens Health Rep (New Rochelle) Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos