Abstract
Objective:To determine whether mothers feel comfortable with their infants' providers discussing contraception with them at their infants' well-child checks.Methods:A cross-sectional survey was conducted using a convenience sample of 114 mothers presenting at a community family medicine residency program for well-child visits among infants up to 17 months old.Results:Almost all mothers (87%) felt comfortable talking with their infants' providers about contraception and were likely to accept the advice of their infants' providers to see their own doctors regarding contraception (83%) or to use a prescription from their infants' providers for contraception (75%).Conclusion:Many mothers miss or delay their postpartum visits but see their infants' doctor multiple times within the first year. Mothers are comfortable talking with infant providers about contraception. By discussing contraception with mothers at well-child visits, physicians may encourage mothers to use contraception and prevent unintended pregnancies.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
References
References1. Henshaw SK. Unintended pregnancy in the United States. Fam Plann Perspect 1998;30:24–29, 46.HenshawSKUnintended pregnancy in the United States.Fam Plann Perspect19983024-29, 462. Rosenfeld JA, Everett KD. Factors related to planned and unplanned pregnancies. J Fam Pract 1996;43:161–166.RosenfeldJA]]EverettKDFactors related to planned and unplanned pregnancies.J Fam Pract199643161-1663. Petersen R, Moos MK. Defining and measuring unintended pregnancy: issues and concerns. Womens Health Issues 1997;7:234–240.PetersenR]]MoosMKDefining and measuring unintended pregnancy: issues and concerns.Womens Health Issues19977234-2404. Gross KH. Unintended Pregnancies in North Carolina. Raleigh, NC, Department of Health and Human Services. State Center for Health Statistics, 2002.5. Wind R. Poorest U.S. Women Increasingly Likely to Face Unintended Pregnancies. New York, Guttmacher Institute, 2006.WindRPoorest U.S. Women Increasingly Likely to Face Unintended Pregnancies.New YorkGuttmacher Institute20066. Guttmacher Institute. Facts on Induced Abortion in the United States. New York, Guttmacher Institute, 2008.Guttmacher InstituteFacts on Induced Abortion in the United States.New YorkGuttmacher Institute20087. Santelli J, Rochat R, Hatfield-Timajchy K, et al; Unintended Pregnancy Working Group. The measurement and meaning of unintended pregnancy. Perspect Sex Reprod Health 2003;35:94–101.SantelliJ]]RochatR]]Hatfield-TimajchyK&etal;Unintended Pregnancy Working GroupThe measurement and meaning of unintended pregnancy.Perspect Sex Reprod Health20033594-1018. Han JY, Nava-Ocampo AA, Koren G. Unintended pregnancies and exposure to potential human teratogens. Birth Defects Res A Clin Mol Teratol 2005;73:245–248.HanJY]]Nava-OcampoAA]]KorenGUnintended pregnancies and exposure to potential human teratogens.Birth Defects Res A Clin Mol Teratol200573245-2489. Brown SS, Eisenberg L; Institute of Medicine. Committee on Unintended Pregnancy. The Best Intentions: Unintended Pregnancy and the Well-being of Children and Families. Washington, DC, National Academy Press, 1995.BrownSS]]EisenbergLInstitute of MedicineCommittee on Unintended Pregnancy.The Best Intentions: Unintended Pregnancy and the Well-being of Children and Families.Washington, DCNational Academy Press199510. Baydar N. Consequences for children of their birth planning status. Fam Plann Perspect 1995;27:228–234, 245.BaydarNConsequences for children of their birth planning status.Fam Plann Perspect199527228-234, 24511. Gazmararian JA, Adams MM, Saltzman LE, et al. The relationship between pregnancy intendedness and physical violence in mothers of newborns. The PRAMS working group. Obstet Gynecol 1995;85:1031–1038.GazmararianJA]]AdamsMM]]SaltzmanLE&etal;The relationship between pregnancy intendedness and physical violence in mothers of newborns. The PRAMS working group.Obstet Gynecol1995851031-103812. Smith GC, Pell JP, Dobbie R. Interpregnancy interval and risk of preterm birth and neonatal death: retrospective cohort study. BMJ 2003;327:313.SmithGC]]PellJP]]DobbieRInterpregnancy interval and risk of preterm birth and neonatal death: retrospective cohort study.BMJ200332731313. Rousso D, Panidis D, Gkoutzioulis F, et al. Effect of the interval between pregnancies on the health of mother and child. Eur J Obstet Gynecol Reprod Biol 2002;105:4–6.RoussoD]]PanidisD]]GkoutzioulisF&etal;Effect of the interval between pregnancies on the health of mother and child.Eur J Obstet Gynecol Reprod Biol20021054-614. Mosher WD, Martinez GM, Chandra A, et al. Use of contraception and use of family planning services in the United States: 1982–2002. Adv Data 2004;350:1–36.MosherWD]]MartinezGM]]ChandraA&etal;Use of contraception and use of family planning services in the United States: 1982–2002.Adv Data20043501-3615. Schiller JS, Bernadel L. Summary health statistics for the U.S. population: National Health Interview Survey, 2002. Vital Health Stat 10. 2004;220:1–101.SchillerJS]]BernadelLSummary health statistics for the U.S. population: National Health Interview Survey, 2002.Vital Health Stat 1020042201-10116. Weisman CS, Maccannon DS, Henderson JT, et al. Contraceptive counseling in managed care: preventing unintended pregnancy in adults. Womens Health Issues 2002;12:79–95.WeismanCS]]MaccannonDS]]HendersonJT&etal;Contraceptive counseling in managed care: preventing unintended pregnancy in adults.Womens Health Issues20021279-9517. Abma JC, Chandra A, Mosher WD, et al. Fertility, family planning, and women's health: New data from the 1995 National Survey of Family Growth. Vital Health Stat 23 1997;19:1–114.AbmaJC]]ChandraA]]MosherWD&etal;Fertility, family planning, and women's health: New data from the 1995 National Survey of Family Growth.Vital Health Stat 231997191-11418. Lu MC, Prentice J. The postpartum visit: risk factors for nonuse and association with breast-feeding. Am J Obstet Gynecol 2002;187:1329–1336.LuMC]]PrenticeJThe postpartum visit: risk factors for nonuse and association with breast-feeding.Am J Obstet Gynecol20021871329-133619. Chandra A, Martinez GM, Mosher WD, et al. Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth. Vital Health Stat 23 2005;25:1–160.ChandraA]]MartinezGM]]MosherWD&etal;Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth.Vital Health Stat 232005251-16020. Freed GL, Clark SJ, Pathman DE, et al. Influences on the receipt of well-child visits in the first two years of life. Pediatrics 1999;103(4 pt 2):864–869.FreedGL]]ClarkSJ]]PathmanDE&etal;Influences on the receipt of well-child visits in the first two years of life.Pediatrics19991034 pt 2864-86921. Chaudron LH, Szilagyi PG, Kitzman HJ, et al. Detection of postpartum depressive symptoms by screening at well-child visits. Pediatrics 2004;113(3 pt 1):551–558.ChaudronLH]]SzilagyiPG]]KitzmanHJ&etal;Detection of postpartum depressive symptoms by screening at well-child visits.Pediatrics20041133 pt 1551-55822. Jayalakshmi MS, Prabhakar PK, Ambwani K. Pediatrician as family planning counsellor. Indian Pediatr 1999;36:414–415.JayalakshmiMS]]PrabhakarPK]]AmbwaniKPediatrician as family planning counsellor.Indian Pediatr199936414-41523. Kemper KJ. Self-administered questionnaire for structured psychosocial screening in pediatrics. Pediatrics 1992;89:433–436.KemperKJSelf-administered questionnaire for structured psychosocial screening in pediatrics.Pediatrics199289433-43624. Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2000 (c May 19, 2008; 92 pages). Available at: http://www.cdc.gov/brfss/questionnaires/pdf-ques/2000brfss.pdf. Accessed January 6, 2009.
