TY  - BOOK
AU  - Tvarozkova, K.
AU  - Killicoat, K.
AU  - Munro, H.
AU  - Govind, A.
TI  - Postpartum contraception: a missed opportunity to prevent unintended pregnancy
PY  - 2016///
N1  - NMUH Staff Publications; EMBASE; 123
N2  - <span style="font-size: 10pt;">Introduction In our unit, we felt there was a 'missed' opportunity to educate and supply contraception to postnatal patients. We therefore carried out a face-to-face survey of 50 women in the week after delivery. Results The hospital serves a culturally and ethnically diverse area of London, with 5300 deliveries annually and where 44% (n = 20) of patients do not have English as their first language. The median age of women completing the survey was 30 years (range 17- 43 years) with 72% (n = 36) having a higher education qualification. The average parity following the index pregnancy was two, with 64% (n = 32) having delivered vaginally, 4% (n = 2) had instrumental delivery and 32% (n = 16) had caesarean births. We asked women what method of contraception they had used previously and found that 36% (n = 18) had not used any contraception method, 18% (n = 9) were using barrier methods and 30% (n = 15) either the progesterone-only pill, or combined pill or patch. Only 16% (n = 8) of women surveyed had previously used a long acting reversible contraception (LARC) method, well below the country average of 37%. With regard to the immediate fitting of an IUS/IUD; 16% (n = 8) were 'very likely' to accept, 6% (n = 3) 'likely' and 78% (n = 39) said they were 'not likely' to accept. When the same question was asked with regard to immediate fitting of the implant; 18% (n = 9) said they were 'very likely' to accept, 10% (n = 5) 'likely' and 72% (n = 36) 'not likely' to accept. Some of the comments patients made as to why they would not accept these methods included; 'too early', 'don't feel need for it', 'not heard of either', and 'no information (provided)'. Conclusion This small survey has highlighted a significant need for patient education regarding contraception and as a result, we are keen to work collaboratively on training and education opportunities with the Community SRH teams. </span&gt
UR  - http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/abstract;jsessionid=C6660875D25EE1DE3C1437B78FB15EE8.f03t01?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT+
UR  - http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/epdf
ER  -