Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation
Objective To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long‐acting reversible contraception (LARC) postpartum. Design Health service research evaluation. Setting Community antenatal clinics and hospital maternity...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2017-12, Vol.124 (13), p.2009-2015 |
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| container_end_page | 2015 |
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| container_issue | 13 |
| container_start_page | 2009 |
| container_title | BJOG : an international journal of obstetrics and gynaecology |
| container_volume | 124 |
| creator | Cameron, ST Craig, A Sim, J Gallimore, A Cowan, S Dundas, K Heller, R Milne, D Lakha, F |
| description | Objective
To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long‐acting reversible contraception (LARC) postpartum.
Design
Health service research evaluation.
Setting
Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK.
Population
Women booked for antenatal care.
Methods
Contraceptive counselling with a community midwife (22 weeks’ gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32–34 weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.
Main outcome measures
Women's views on antenatal contraceptive counselling. Secondary outcomes included (i) uptake of LARC methods and (ii) barriers and facilitators to providing antenatal counselling and contraception.
Results
There were 1369 women in the cohort. Questionnaires were distributed to 1064 women (78%) and completed by 794 (75%). In all, 78% of respondents (n = 621) discussed contraception antenatally with a community midwife and 74% (n = 461) found this helpful. Although 43% of respondents (n = 341) were planning to use LARC, only 9% of the cohort (118 of 1369) received LARC prior to discharge. Community midwives indicated that antenatal contraceptive counselling was now embedded in their role, but hospital staff indicated that workloads impacted upon ability to provide contraception for women.
Conclusions
Antenatal contraceptive counselling, delivered by community midwives, is feasible and highly acceptable to women. However, providing contraception and LARC for women before they are discharged home remains a challenge.
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| doi_str_mv | 10.1111/1471-0528.14674 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1884884855</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1884884855</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4124-47920c6de8ae33e1a3a9fca90b011dc00178f3878db89c6e3574b55b699447123</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi0Eoh9w5oYsceGS1l9JHG6lavnQSq0EnC3HmYArr73YzqL9PfzR2t2lQlywLHk8fubVjF-EXlFyRss6p6KnDWmZPKOi68UTdPyYefoQk4ZwJo_QSUp3hNCOEf4cHTHJJWFSHqPf16CTHa2zeYe1n7A2BjZZHzJhxtbnGKbFWP8dx7Bk66GAGbzO2mETyrOuJXYL5bb4BM5VtoptYtjaZIOvQn-hJaHnDBFP4Epd3L3D-Qfgi9vb1dUXvLEuZAxb7RZd2Rfo2axdgpeH8xR9u776evmxWd18-HR5sWqMoEw0oh8YMd0EUgPnQDXXw2z0QEZC6WTK9L2cuezlNMrBdMDbXoxtO3bDIMqnMX6K3u51S9s_F0hZrW0yZRztISxJUSlF3W1b0Df_oHdhib50p-jQdZJ1TFTB8z1lYkgpwqw20a513ClKVPVPVbdUdUs9-FcqXh90l3EN0yP_x7ACtHvgl3Ww-5-eev_5Zi98D9ekp58</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1966826242</pqid></control><display><type>article</type><title>Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Cameron, ST ; Craig, A ; Sim, J ; Gallimore, A ; Cowan, S ; Dundas, K ; Heller, R ; Milne, D ; Lakha, F</creator><creatorcontrib>Cameron, ST ; Craig, A ; Sim, J ; Gallimore, A ; Cowan, S ; Dundas, K ; Heller, R ; Milne, D ; Lakha, F</creatorcontrib><description>Objective
To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long‐acting reversible contraception (LARC) postpartum.
Design
Health service research evaluation.
Setting
Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK.
Population
Women booked for antenatal care.
Methods
Contraceptive counselling with a community midwife (22 weeks’ gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32–34 weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.
Main outcome measures
Women's views on antenatal contraceptive counselling. Secondary outcomes included (i) uptake of LARC methods and (ii) barriers and facilitators to providing antenatal counselling and contraception.
Results
There were 1369 women in the cohort. Questionnaires were distributed to 1064 women (78%) and completed by 794 (75%). In all, 78% of respondents (n = 621) discussed contraception antenatally with a community midwife and 74% (n = 461) found this helpful. Although 43% of respondents (n = 341) were planning to use LARC, only 9% of the cohort (118 of 1369) received LARC prior to discharge. Community midwives indicated that antenatal contraceptive counselling was now embedded in their role, but hospital staff indicated that workloads impacted upon ability to provide contraception for women.
Conclusions
Antenatal contraceptive counselling, delivered by community midwives, is feasible and highly acceptable to women. However, providing contraception and LARC for women before they are discharged home remains a challenge.
Tweetable
Giving contraceptive advice antenatally is feasible and acceptable.
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Giving contraceptive advice antenatally is feasible and acceptable.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.14674</identifier><identifier>PMID: 28380288</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Antenatal contraceptive counselling ; Birth control ; Contraception ; Contraceptive Agents - administration & dosage ; Counseling - statistics & numerical data ; Family planning ; Family Planning Services - statistics & numerical data ; Feasibility Studies ; Female ; Focus Groups ; Gestation ; Health care delivery ; Health services ; Humans ; long‐acting reversible contraception ; Midwifery ; Patient Acceptance of Health Care - statistics & numerical data ; Patient Education as Topic - methods ; Pilot Projects ; Postpartum ; postpartum contraception ; Postpartum Period ; Pregnancy ; Prenatal Care ; Scotland ; Time Factors ; Womens health ; Young Adult</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2017-12, Vol.124 (13), p.2009-2015</ispartof><rights>2017 Royal College of Obstetricians and Gynaecologists</rights><rights>2017 Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2017 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4124-47920c6de8ae33e1a3a9fca90b011dc00178f3878db89c6e3574b55b699447123</citedby><cites>FETCH-LOGICAL-c4124-47920c6de8ae33e1a3a9fca90b011dc00178f3878db89c6e3574b55b699447123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.14674$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.14674$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28380288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cameron, ST</creatorcontrib><creatorcontrib>Craig, A</creatorcontrib><creatorcontrib>Sim, J</creatorcontrib><creatorcontrib>Gallimore, A</creatorcontrib><creatorcontrib>Cowan, S</creatorcontrib><creatorcontrib>Dundas, K</creatorcontrib><creatorcontrib>Heller, R</creatorcontrib><creatorcontrib>Milne, D</creatorcontrib><creatorcontrib>Lakha, F</creatorcontrib><title>Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long‐acting reversible contraception (LARC) postpartum.
Design
Health service research evaluation.
Setting
Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK.
Population
Women booked for antenatal care.
Methods
Contraceptive counselling with a community midwife (22 weeks’ gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32–34 weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.
Main outcome measures
Women's views on antenatal contraceptive counselling. Secondary outcomes included (i) uptake of LARC methods and (ii) barriers and facilitators to providing antenatal counselling and contraception.
Results
There were 1369 women in the cohort. Questionnaires were distributed to 1064 women (78%) and completed by 794 (75%). In all, 78% of respondents (n = 621) discussed contraception antenatally with a community midwife and 74% (n = 461) found this helpful. Although 43% of respondents (n = 341) were planning to use LARC, only 9% of the cohort (118 of 1369) received LARC prior to discharge. Community midwives indicated that antenatal contraceptive counselling was now embedded in their role, but hospital staff indicated that workloads impacted upon ability to provide contraception for women.
Conclusions
Antenatal contraceptive counselling, delivered by community midwives, is feasible and highly acceptable to women. However, providing contraception and LARC for women before they are discharged home remains a challenge.
Tweetable
Giving contraceptive advice antenatally is feasible and acceptable.
Tweetable
Giving contraceptive advice antenatally is feasible and acceptable.</description><subject>Adult</subject><subject>Antenatal contraceptive counselling</subject><subject>Birth control</subject><subject>Contraception</subject><subject>Contraceptive Agents - administration & dosage</subject><subject>Counseling - statistics & numerical data</subject><subject>Family planning</subject><subject>Family Planning Services - statistics & numerical data</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Gestation</subject><subject>Health care delivery</subject><subject>Health services</subject><subject>Humans</subject><subject>long‐acting reversible contraception</subject><subject>Midwifery</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patient Education as Topic - methods</subject><subject>Pilot Projects</subject><subject>Postpartum</subject><subject>postpartum contraception</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Scotland</subject><subject>Time Factors</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0Eoh9w5oYsceGS1l9JHG6lavnQSq0EnC3HmYArr73YzqL9PfzR2t2lQlywLHk8fubVjF-EXlFyRss6p6KnDWmZPKOi68UTdPyYefoQk4ZwJo_QSUp3hNCOEf4cHTHJJWFSHqPf16CTHa2zeYe1n7A2BjZZHzJhxtbnGKbFWP8dx7Bk66GAGbzO2mETyrOuJXYL5bb4BM5VtoptYtjaZIOvQn-hJaHnDBFP4Epd3L3D-Qfgi9vb1dUXvLEuZAxb7RZd2Rfo2axdgpeH8xR9u776evmxWd18-HR5sWqMoEw0oh8YMd0EUgPnQDXXw2z0QEZC6WTK9L2cuezlNMrBdMDbXoxtO3bDIMqnMX6K3u51S9s_F0hZrW0yZRztISxJUSlF3W1b0Df_oHdhib50p-jQdZJ1TFTB8z1lYkgpwqw20a513ClKVPVPVbdUdUs9-FcqXh90l3EN0yP_x7ACtHvgl3Ww-5-eev_5Zi98D9ekp58</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Cameron, ST</creator><creator>Craig, A</creator><creator>Sim, J</creator><creator>Gallimore, A</creator><creator>Cowan, S</creator><creator>Dundas, K</creator><creator>Heller, R</creator><creator>Milne, D</creator><creator>Lakha, F</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201712</creationdate><title>Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation</title><author>Cameron, ST ; Craig, A ; Sim, J ; Gallimore, A ; Cowan, S ; Dundas, K ; Heller, R ; Milne, D ; Lakha, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4124-47920c6de8ae33e1a3a9fca90b011dc00178f3878db89c6e3574b55b699447123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Antenatal contraceptive counselling</topic><topic>Birth control</topic><topic>Contraception</topic><topic>Contraceptive Agents - administration & dosage</topic><topic>Counseling - statistics & numerical data</topic><topic>Family planning</topic><topic>Family Planning Services - statistics & numerical data</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Gestation</topic><topic>Health care delivery</topic><topic>Health services</topic><topic>Humans</topic><topic>long‐acting reversible contraception</topic><topic>Midwifery</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patient Education as Topic - methods</topic><topic>Pilot Projects</topic><topic>Postpartum</topic><topic>postpartum contraception</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Scotland</topic><topic>Time Factors</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cameron, ST</creatorcontrib><creatorcontrib>Craig, A</creatorcontrib><creatorcontrib>Sim, J</creatorcontrib><creatorcontrib>Gallimore, A</creatorcontrib><creatorcontrib>Cowan, S</creatorcontrib><creatorcontrib>Dundas, K</creatorcontrib><creatorcontrib>Heller, R</creatorcontrib><creatorcontrib>Milne, D</creatorcontrib><creatorcontrib>Lakha, F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cameron, ST</au><au>Craig, A</au><au>Sim, J</au><au>Gallimore, A</au><au>Cowan, S</au><au>Dundas, K</au><au>Heller, R</au><au>Milne, D</au><au>Lakha, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2017-12</date><risdate>2017</risdate><volume>124</volume><issue>13</issue><spage>2009</spage><epage>2015</epage><pages>2009-2015</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long‐acting reversible contraception (LARC) postpartum.
Design
Health service research evaluation.
Setting
Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK.
Population
Women booked for antenatal care.
Methods
Contraceptive counselling with a community midwife (22 weeks’ gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32–34 weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.
Main outcome measures
Women's views on antenatal contraceptive counselling. Secondary outcomes included (i) uptake of LARC methods and (ii) barriers and facilitators to providing antenatal counselling and contraception.
Results
There were 1369 women in the cohort. Questionnaires were distributed to 1064 women (78%) and completed by 794 (75%). In all, 78% of respondents (n = 621) discussed contraception antenatally with a community midwife and 74% (n = 461) found this helpful. Although 43% of respondents (n = 341) were planning to use LARC, only 9% of the cohort (118 of 1369) received LARC prior to discharge. Community midwives indicated that antenatal contraceptive counselling was now embedded in their role, but hospital staff indicated that workloads impacted upon ability to provide contraception for women.
Conclusions
Antenatal contraceptive counselling, delivered by community midwives, is feasible and highly acceptable to women. However, providing contraception and LARC for women before they are discharged home remains a challenge.
Tweetable
Giving contraceptive advice antenatally is feasible and acceptable.
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Giving contraceptive advice antenatally is feasible and acceptable.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28380288</pmid><doi>10.1111/1471-0528.14674</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2017-12, Vol.124 (13), p.2009-2015 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1884884855 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Antenatal contraceptive counselling Birth control Contraception Contraceptive Agents - administration & dosage Counseling - statistics & numerical data Family planning Family Planning Services - statistics & numerical data Feasibility Studies Female Focus Groups Gestation Health care delivery Health services Humans long‐acting reversible contraception Midwifery Patient Acceptance of Health Care - statistics & numerical data Patient Education as Topic - methods Pilot Projects Postpartum postpartum contraception Postpartum Period Pregnancy Prenatal Care Scotland Time Factors Womens health Young Adult |
| title | Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation |
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