Annali dell'Istituto Superiore di Sanita
Volume 50, Issue 1, 2014, Pages 54-61

The effect of contraceptive counseling in the pre and post-natal period on contraceptive use at three months after delivery among Italian and immigrant women (Article)

Lauria L.* , Donati S. , Spinelli A. , Bonciani M. , Grandolfo M.E.
  • a Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162, Rome, Italy
  • b Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162, Rome, Italy
  • c Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162, Rome, Italy
  • d Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162, Rome, Italy
  • e Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Via Giano della Bella 34, 00162, Rome, Italy

Abstract

Introduction. Contraceptive counselling in the pre and post-natal period may be important for the use of postpartum contraception and prevention of induced abortion. This paper evaluates the use of postpartum contraceptives and the factors associated with it in a sample of Italian and immigrant women. Materials and methods. Data are drawn from two population-based follow-up surveys conducted to evaluate the quality of maternal care in 25 Italian Local Health Units in 2008/9 and 2010/1. Descriptive analyses and logistic regression models for complex survey data were used. Results. The use of effective contraceptives in the postpartum period is similar between Italians and immigrants (65%). Fifty-nine percent of Italians and 63% of immigrants received contraceptive counselling by natal care services. Women who received counseling are more likely to use effective contraceptives (Italians OR = 2.55 95% CI 2.06 - 3.14; immigrants OR = 4.01 95% CI 2.40 - 6.70). Conclusions. This study supports the notion that health professionals should take every opportunity during pregnancy, childbirth and puerperium to provide information and counselling to improve knowledge and awareness of contraception.

Author Keywords

Family planning immigrants Contraceptive counseling Contraception postpartum

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898737998&doi=10.4415%2fANN-14-01-09&partnerID=40&md5=917ed8ed0f5b2d1d78264aa7a40b086d
DOI: 10.4415/ANN-14-01-09
ISSN: 00212571
Cited by: 7
Original Language: English