TY - JOUR
T1 - Factors Influencing Contraceptive Choice During the Postpartum Period: A Qualitative Systematic Review
T2 - A Qualitative Systematic Review
AU - Robinet, Lisa
AU - Jeffredo, Alexis
AU - Clesse, Christophe
N1 - © 2023 The Authors. Journal of Midwifery & Women's Health published by Wiley Periodicals LLC on behalf of American College of Nurse Midwives (ACNM).
PY - 2023/3/10
Y1 - 2023/3/10
N2 - INTRODUCTION: The objective of this article is to identify the factors that influence the choice of contraceptive methods in the postpartum period.METHODS: We conducted a qualitative systematic review including articles published between 2000 and 2021 on postpartum contraception and its related influential factors. Relying on Preferred Reporting Items for Systematic Reviews and Meta-Analyses and synthesis without meta-analysis checklists, the search strategy relied on a combination of 2 lists of keywords applied to 9 databases. A bias assessment was carried out with the help of the Cochrane's randomized controlled trial tool, the checklist from Downs and Black, and Consolidated criteria for reporting qualitative research (CoreQ). A thematic analysis was performed to identify categories of influential factors.RESULTS: A total of 34 studies met our inclusion criteria and enabled us to isolate 4 categories of factors: (1) demographic and economic factors (geographic and ethnic origin, age, living environment, education/wealth), (2) clinical elements (parity, evolution of pregnancy, childbirth and afterwards, contraception used previously and its mechanism, pregnancy planning), (3) health care delivery (pregnancy monitoring, sessions about contraception, health care system, place of delivery), and (4) sociocultural factors (knowledge and beliefs about contraception, religion, the influence of family and society). The decision process related to postpartum contraception is influenced by a combination of socioenvironmental factors and clinical elements.DISCUSSION: The main influential factors (parity, level of education, knowledge and beliefs about contraception, and influence of family) need to be addressed by clinicians during consultations. Further multivariate research should provide quantitative data on this topic.
AB - INTRODUCTION: The objective of this article is to identify the factors that influence the choice of contraceptive methods in the postpartum period.METHODS: We conducted a qualitative systematic review including articles published between 2000 and 2021 on postpartum contraception and its related influential factors. Relying on Preferred Reporting Items for Systematic Reviews and Meta-Analyses and synthesis without meta-analysis checklists, the search strategy relied on a combination of 2 lists of keywords applied to 9 databases. A bias assessment was carried out with the help of the Cochrane's randomized controlled trial tool, the checklist from Downs and Black, and Consolidated criteria for reporting qualitative research (CoreQ). A thematic analysis was performed to identify categories of influential factors.RESULTS: A total of 34 studies met our inclusion criteria and enabled us to isolate 4 categories of factors: (1) demographic and economic factors (geographic and ethnic origin, age, living environment, education/wealth), (2) clinical elements (parity, evolution of pregnancy, childbirth and afterwards, contraception used previously and its mechanism, pregnancy planning), (3) health care delivery (pregnancy monitoring, sessions about contraception, health care system, place of delivery), and (4) sociocultural factors (knowledge and beliefs about contraception, religion, the influence of family and society). The decision process related to postpartum contraception is influenced by a combination of socioenvironmental factors and clinical elements.DISCUSSION: The main influential factors (parity, level of education, knowledge and beliefs about contraception, and influence of family) need to be addressed by clinicians during consultations. Further multivariate research should provide quantitative data on this topic.
KW - Pregnancy
KW - Female
KW - Humans
KW - Contraceptive Agents
KW - Postpartum Period
KW - Contraception/methods
KW - Parity
KW - Parturition
KW - Randomized Controlled Trials as Topic
U2 - 10.1111/jmwh.13471
DO - 10.1111/jmwh.13471
M3 - Review article
C2 - 36899472
SN - 1526-9523
VL - 68
SP - 265
EP - 286
JO - Journal of midwifery & women's health
JF - Journal of midwifery & women's health
IS - 2
ER -