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The effect of an educational video on long-acting reversible contraception (LARC) utilization at 6–8 weeks postpartum period: a randomized controlled trial

  • Gynecologic Endocrinology and Reproductive Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Long-acting reversible contraception is highly effective in preventing unintended pregnancy and unsafe abortion. An educational video administered during early postpartum period might be an effective tool to improve postpartum LARC use. The objectives were to evaluate whether a postpartum educational video about LARC could increase postpartum LARC utilization at 6–8 weeks postpartum and to assess why postpartum women did not receive LARC.

Methods

This randomized-controlled trial was conducted at the postpartum unit of a university Hospital between August 2016 and February 2017. Postpartum women who were aged > 20 years and willing to participate were recruited. Participants allocated to the study group watched the 7-min educational video on LARC methods while the control group did not. To assess LARC utilization, data were collected at 6–8 weeks postpartum using telephone calls and/or medical record review to determine postpartum contraception use and reasons for not using LARC.

Results

Two-hundred and seventy participants were enrolled, and the video (135) and non-video (135) groups had similar baseline characteristics. In the video group, 57.8% (95% CI 49.0–66.2) reported using a LARC method, compared to 25.9% (95% CI 18.8–34.2) in the non-video group (p < 0.05). The reasons for not using LARC in both groups were inconvenience of access (42.0–43.8%) and uncertainty about methods (17.0–24.6%).

Conclusion

The educational video introduced at immediate postpartum period was efficacious in increasing the utilization of LARC at 6–8 weeks postpartum. Inconvenience of access was the most common reason cited for not using LARC.

Clinical trial registration number

Clinicaltrials.in.th TCTR20171225001 “retrospectively registered”.

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Acknowledgements

The authors would like to thank the illustrator, the statistician, the postpartum ward staff and all participants for their support.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama VI Rd., Bangkok, 10400, Thailand

    Chada Burapasikarin, Jittima Manonai & Rujira Wattanayingcharoenchai

Authors
  1. Chada Burapasikarin
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  2. Jittima Manonai
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  3. Rujira Wattanayingcharoenchai
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Contributions

CB: project development, data collection, data analysis, manuscript writing. JM: project development, data analysis, manuscript editing. RW: data analysis, manuscript editing.

Corresponding author

Correspondence to Jittima Manonai.

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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 302, 1503–1509 (2020). https://doi.org/10.1007/s00404-020-05710-3

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  • DOI: https://doi.org/10.1007/s00404-020-05710-3

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