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Antenatal contraception counselling and provision of contraception after delivery for first-time young mothers enrolled with a Family Nurse Partnership programme
  1. Bridget Gallagher1,
  2. Sharon T Cameron2,3,
  3. Alison Craig2,
  4. Annette Gallimore4,
  5. Fatim Lakha5
  1. 1 Family Nurse Partnership, NHS Lothian, Edinburgh, UK
  2. 2 Chalmers Centre, Edinburgh, UK
  3. 3 Obstetrics and Gynaecology, Royal Infirmary of Edinburgh, Edinburgh, UK
  4. 4 Public Health, NHS Lothian, Edinburgh, UK
  5. 5 Honorary Consultant in Public Health, NHS Lothian, Edinburgh, UK
  1. Correspondence to Bridget Gallagher, Family Nurse Partnership, NHS Lothian, Edinburgh EH1 3EG, UK; bridget.gallagher{at}hotmail.co.uk

Abstract

Objective To evaluate antenatal contraceptive counselling and provision of postpartum contraception on contraceptive choices of first-time teenage mothers enrolled with a Family Nurse Partnership (FNP) programme.

Design Health service research evaluation.

Population Cohort of FNP clients (n=195), Scotland, UK.

Methods Antenatal contraceptive counselling and provision of chosen method from the hospital. Evaluation consisted of (i) self-administered questionnaires of FNP clients and (ii) interviews with FNP clients and FNP nurses.

Main outcome measures FNP client views on intervention. Secondary outcomes included: contraceptive choice antenatally, at day 10 postpartum, 3 and 12 months after delivery, and views of FNP nurses on the intervention.

Results Antenatal questionnaires were completed by 118/195 (61%) clients. 96/118 (81%) agreed that it was very or quite helpful to receive antenatal contraceptive counselling and 80/118 (68%) were planning to use a long-acting reversible method of contraception (LARC). 97/121 (80%) wished to receive contraception before leaving the hospital. 104/195 (53%) completed a questionnaire at day 10 postpartum, of which 33 (32%) indicated that they had received contraception from the hospital. FNP nurses expressed frustration when contraception was not provided; this was usually attributed to the busy workload of the maternity department.

Conclusions Antenatal contraceptive counselling was appreciated by FNP clients and they expressed a preference for contraception provision following delivery. Over two-thirds planned to use a LARC method but many did not receive this from the hospital. Further interventions are required to ensure that the provision of postpartum contraception is prioritised for this group of young women.

  • family nurse partnership
  • first-time teenage mothers
  • postpartum
  • contraception
  • long-acting reversible contraception
  • contraceptive implant
  • adolescent
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Footnotes

  • Contributors BG conducted the study and was responsible for study conduct, analysing and writing drafts. AG was responsible for qualitative components. STC, AC and FL contributed to study design, analysis and drafts. All authors approved the final draft. Details of ethical approval: none required. The NHS Lothian ethics committee officer reviewed the project protocol, surveys and topic guides and confirmed that ethical committee approval was not required for this health services research.

  • Funding This study received a grant from Edinburgh and Lothians Health Foundation.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information.

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