Effectiveness of Counseling on Use of Postpartum Family Planning.

NCT ID: NCT05079100

Last Updated: 2024-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2022-05-20

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.

Conditions

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Contraceptive Usage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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group of intervention (counseling)

the group will receive the contraception counseling

Group Type ACTIVE_COMPARATOR

postpartum contraception method counselling

Intervention Type OTHER

It will be face-to-face counseling with females about the use of postpartum contraception methods within 6 weeks postpartum.

group of control (no counseling)

this group will not receive any counseling

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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postpartum contraception method counselling

It will be face-to-face counseling with females about the use of postpartum contraception methods within 6 weeks postpartum.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Women who delivered in Women's Health hospitals, Assiut university hospitals.
2. Women in reproductive age (15 - 49 years).
3. Accepting to share in our study.

Exclusion Criteria

1. Women diagnosed with mental problems or postpartum psychosis
2. Women with unstable hemodynamic status.
3. Women after Peripartum hysterectomy or tubal ligation.
Minimum Eligible Age

15 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Yasmin Ismail Mohamed

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dalia Galal Mahran, Prof

Role: STUDY_DIRECTOR

Department of public health and community medicine, Faculty of medicine, Assiut university.

Locations

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Assiut University

Asyut, Asyut Governorate, Egypt

Site Status

Countries

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Egypt

References

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Gul X, Hameed W, Hussain S, Sheikh I, Siddiqui JU. A study protocol for an mHealth, multi-centre randomized control trial to promote use of postpartum contraception amongst rural women in Punjab, Pakistan. BMC Pregnancy Childbirth. 2019 Aug 8;19(1):283. doi: 10.1186/s12884-019-2427-z.

Reference Type BACKGROUND
PMID: 31395034 (View on PubMed)

Cooper CM, Charurat E, El-Adawi I, Kim YM, Emerson MR, Zaki W, Schuster A. Postpartum Family Planning During Sociopolitical Transition: Findings from an Integrated Community-Based Program in Egypt. Int Perspect Sex Reprod Health. 2016 Jun 1;42(2):57-69. doi: 10.1363/42e1216.

Reference Type BACKGROUND
PMID: 28825907 (View on PubMed)

Pradhan E, Canning D, Shah IH, Puri M, Pearson E, Thapa K, Bajracharya L, Maharjan M, Maharjan DC, Bajracharya L, Shakya G, Chaudhary P. Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: results from stepped-wedge randomized controlled trial. Reprod Health. 2019 May 29;16(1):69. doi: 10.1186/s12978-019-0738-1.

Reference Type BACKGROUND
PMID: 31142344 (View on PubMed)

Burapasikarin C, Manonai J, Wattanayingcharoenchai R. The effect of an educational video on long-acting reversible contraception (LARC) utilization at 6-8 weeks postpartum period: a randomized controlled trial. Arch Gynecol Obstet. 2020 Dec;302(6):1503-1509. doi: 10.1007/s00404-020-05710-3. Epub 2020 Jul 30.

Reference Type BACKGROUND
PMID: 32734413 (View on PubMed)

Tang JH, Dominik RC, Zerden ML, Verbiest SB, Brody SC, Stuart GS. Effect of an educational script on postpartum contraceptive use: a randomized controlled trial. Contraception. 2014 Aug;90(2):162-7. doi: 10.1016/j.contraception.2014.03.017. Epub 2014 Apr 12.

Reference Type BACKGROUND
PMID: 24833047 (View on PubMed)

Harrington EK, Drake AL, Matemo D, Ronen K, Osoti AO, John-Stewart G, Kinuthia J, Unger JA. An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial. Am J Public Health. 2019 Jun;109(6):934-941. doi: 10.2105/AJPH.2019.305051.

Reference Type BACKGROUND
PMID: 31067089 (View on PubMed)

Other Identifiers

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ECAUPFP

Identifier Type: -

Identifier Source: org_study_id

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