PT - JOURNAL ARTICLE AU - Bridget Gallagher AU - Sharon T Cameron AU - Alison Craig AU - Annette Gallimore AU - Fatim Lakha TI - Antenatal contraception counselling and provision of contraception after delivery for first-time young mothers enrolled with a Family Nurse Partnership programme AID - 10.1136/bmjsrh-2018-200214 DP - 2019 Oct 01 TA - BMJ Sexual & Reproductive Health PG - 243--248 VI - 45 IP - 4 4099 - http://jfprhc.bmj.com/content/45/4/243.short 4100 - http://jfprhc.bmj.com/content/45/4/243.full SO - BMJ Sex Reprod Health2019 Oct 01; 45 AB - 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.