Effectiveness of Counseling on Use of Postpartum Family Planning.

Study Overview
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Brief Summary
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Family planning (FP) is the most supported, reasonable public health service to prevent both maternal and newborn mortality and decrease the risk of adverse maternal, perinatal, and infant outcomes. The World Health Organization's (WHO) recommend of waiting at least 2 years after a live birth before attempting the next pregnancy as short interval between pregnancies increase risk of preterm labor; low birth weight; fetal, early neonatal and infant death; and serious maternal outcomes.

Detailed Description
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So WHO recommends postpartum family planning (PPFP) for healthy birth spacing. PPFP is divided into three stages immediate: within 48 hours following delivery, early: within the first 6 weeks after delivery, late: within 12 months postpartum. Fertility can return as soon as 45 days after delivery for non-breastfeeding women, and among women who are not breastfeeding exclusively, fertility can return before the return of menses. Providing PPFP instantaneously following delivery may be likeable for women who prefer effective postpartum protection as the return of fertility may be hard to expect. So Promoting PPFP use was documented in different communities, interventions included conversational, SMS, brochure and video-based contraceptive education in antenatal or postnatal visits. However, the unmet need for FP is high in the postpartum period, ranging from 32 to 62% in low and middle-income countries depending on the definition used. that is why WHO recommends that all women should be offered counselling within 6 weeks postpartum so we will study the impact of post-partum counselling pre and post-discharge on intent and use of a reliable family planning method.

Official Title
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Effectiveness of Counseling on Attitude and Use of Postpartum Family Planning Within 6 Weeks.

Conditions
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Contraceptive Usage

Intervention / Treatment
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* Other: postpartum contraception method counselling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women who delivered in Women's Health hospitals, Assiut university hospitals. Women in reproductive age (15 - 49 years). Accepting to share in our study. Exclusion Criteria: Women diagnosed with mental problems or postpartum psychosis Women with unstable hemodynamic status. Women after Peripartum hysterectomy or tubal ligation.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: group of intervention (counseling)<br>the group will receive the contraception counseling | Other: postpartum contraception method counselling<br>* It will be face-to-face counseling with females about the use of postpartum contraception methods within 6 weeks postpartum.<br>|
| No Intervention: group of control (no counseling)<br>this group will not receive any counseling | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of participant will Use postpartum contraception methods | we will study by questionnaire in interview session the number of participants who will use postpartum contraception methods within 6 weeks postpartum | 6 weeks |