Study of Birth Control Use After Childbirth

Study Overview
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Brief Summary
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This study is a randomized controlled trial that will evaluate the impact of a brief educational script on the method of birth control that women receive at their 6-week postpartum visit. The one-minute script (LARC script) is given to women in the hospital during their postpartum admission. It informs patients about long-acting reversible contraceptive (LARC) methods, specifically the contraceptive implant and the intrauterine device. The investigators hypothesize that women who are randomized to receive the LARC script will be more likely to report that they are using a LARC method, when queried immediately after their six-week postpartum visit.

Official Title
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A Randomized Controlled Trial of a Brief Educational Script on Postpartum Contraceptive Uptake

Conditions
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Contraception

Intervention / Treatment
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* Behavioral: LARC Script


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women who are admitted to the postpartum unit at WakeMed Hospital Delivery of a live infant >24 weeks gestational age Age 14-45 years Ability to speak either English or Spanish fluently Willing to be contacted by phone until at least 8 weeks after delivery Exclusion Criteria: History of a tubal ligation or hysterectomy Partner has already had a vasectomy History of fertility treatment to conceive this pregnancy Previous randomization into the study

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: LARC script<br>Received routine postpartum counseling and LARC script. | Behavioral: LARC Script<br>* The LARC Script is a one-minute educational script that describes long-acting reversible contraceptive methods.<br>|
| No Intervention: No LARC script<br>Received only routine postpartum counseling | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported use of LARC method |  | After six-week postpartum visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported interest in use of a LARC method |  | After six-week postpartum visit | 
| Self-reported use of any contraceptive method |  | After six-week postpartum visit | 
| Self-reported reasons for not using the contraceptive method of choice |  | After six-week postpartum visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Contraception, Contraception behavior, Postnatal care, Health education, Randomized controlled trial