The authors report no conflict of interest or relevant financial relationships.
Pregnancy Intention and Contraceptive Use at Six Months Postpartum Among Women With Recent Preterm Delivery
Article first published online: 17 MAY 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 41, Issue 3, pages 389–397, May/June 2012
How to Cite
Bloch, J. R., Webb, D. A., Mathew, L. and Culhane, J. F. (2012), Pregnancy Intention and Contraceptive Use at Six Months Postpartum Among Women With Recent Preterm Delivery. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: 389–397. doi: 10.1111/j.1552-6909.2012.01351.x
- Issue published online: 17 MAY 2012
- Article first published online: 17 MAY 2012
- Manuscript Accepted: JAN 2012
- the Pennsylvania State Department of Health ME. Grant Number: 410002073
- NIH/NINR. Grant Number: K23-NR10747-2
- preterm prevention;
- prematurity risks;
- pregnancy intention;
- Philadelphia Collaborative Preterm Prevention Project;
- interconception care;
- unintended pregnancies;
- contraceptive use
To describe pregnancy intention and contraceptive use among women with a recent delivery that occurred at 35 weeks gestation or fewer and who were enrolled in a large-scale randomized control trial.
In this descriptive study we used data from assessments conducted at 6 months postpartum as part of a randomized controlled clinical trial, the Philadelphia Collaborative Preterm Prevention Project (PCPPP).
Participants and Setting
Participants were recruited following a preterm birth (PTB) in one of the 12 urban birth hospitals. All women enrolled in PCPPP, who completed their 6-month postpartum assessment, and who were sexually active at the time of that assessment (n = 566), were included in the analysis.
Data were collected during face-to-face interviews. Study questionnaires included questions about participants’ plans for the timing of subsequent pregnancies, contraceptive behaviors, and other health variables.
Nearly all of the participants (90.1%, n = 509) reported they did not want to get pregnant within one year of the index PTB. However, more than one half of these women (54.6%) reported contraceptive practices of low or moderate effectiveness. Most predictive of intending another pregnancy within the year was the death of the index PTB infant (odds ratio [OR]= 18.2,95% confidence interval [CI] [8.9, 37.0]).
Discordant pregnancy intention and contraceptive use were reported among this group of mothers of PTB infants who are at particularly high risk for a poor outcome of any subsequent pregnancy. The findings highlight the need for further investigation of the causes, correlates, and consequences of discordant pregnancy intentions and contraceptive practices.