Contraceptive Counseling in the Postpartum Period

Study Overview
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Brief Summary
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This is a prospective randomized control trial in which we propose an intervention in the immediate post-partum period to educate women about contraceptive options, particularly long acting reversible contraception (LARC) methods with an aim of increasing the amount of women who choose a LARC method.

Detailed Description
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Eligible participants will be identified in the post-partum period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling which includes any prenatal counseling they received as well as information from the nurse practitioner that rounds on them in the post-partum period. The intervention group will also receive the standard of care contraceptive counseling but will also watch a 10 minute video created by the CHOICE project which counsels on different contraceptive options. Both groups will fill out a pre-intervention questionnaire as well as a post-intervention questionnaire 24hrs later. The primary outcome will be which type of contraception each woman chooses. The secondary outcomes will include determining if the women come to their post-partum visits as well as if they get the method of contraception they chose on the post-partum floor.

Official Title
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Contraceptive Counseling in the Postpartum Period

Conditions
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Postpartum Contraceptive Counseling

Intervention / Treatment
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* Behavioral: Information in the form of a video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women giving birth at University Hospitals Case Medical Center Patient of the Women's Health Center Women delivering only one child Women receiving contraceptive counseling from the nurse practitioner that cares for the postpartum unit Exclusion Criteria: Severe neonatal complication at time of delivery (neonatal death, neonatal admission to the neonatal intensive care unit (NICU) except in cases of chorioamnionitis) Severe maternal complication at time of delivery (patient requiring intensive care unit care, patient requiring hysterectomy at time of delivery) Preterm delivery <34 weeks

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Patients will receive current standard postpartum contraceptive counseling. | |
| Experimental: Intervention<br>Patients will receive current standard postpartum contraceptive counseling and will be shown a 10 minute video from the CHOICE project which outlines the different contraceptive options | Behavioral: Information in the form of a video<br>* see intervention description<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Choice of contraceptive method | Will be obtained through use of a questionnaire. | 24 hours post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Return to clinic for postpartum visit | Will use ambulatory electronic medical record (EMR) to determine if patient returned to clinic for follow up visit. | 12 weeks post-intervention | 
| Obtained desired method of contraception | Will use ambulatory EMR to determine if patient received her desired method of contraception. | 12 weeks post-intervention |