Increasing postpartum family planning uptake through group antenatal care: a longitudinal prospective cohort design

• DOI: 10.1186/s12978-018-0644-y
• Publication Date: 2018-12-17T08:11:07Z
• Authors: Jody R. Lori; Meagan Chuey; Michelle L. Munro...; Henrietta Ofosu-D...; Richard M. K. Adanu
• Keywords: Health Knowledge, Attitudes, Practice; Epidemiology; Antenatal care; FOS: Health sciences; 0302 clinical medicine; Pregnancy; Surveys and Questionnaires; Longitudinal Studies; Prospective Studies; Contraception Behavior; Internal medicine; Global Maternal and Child Health Outcomes; Group antenatal care; Public health; Sub-Saharan Africa; Postpartum Period; Obstetrics and Gynecology; Prenatal Care; 16. Peace & justice; 3. Good health; Obstetrics; Environmental health; Family Planning Services; Reproductive health; Medicine; Female; Cohort study; Adult; Family medicine; Adolescent; Maternal and Neonatal Outcomes of Cesarean Section; Breastfeeding: Epidemiology, Mechanisms, and Health Outcomes; Nursing; Young Adult; 03 medical and health sciences; Antenatal Care; Health Sciences; Genetics; Humans; Family planning; Biology; Research; Gynecology and obstetrics; Prospective cohort study; FOS: Biological sciences; Pediatrics, Perinatology and Child Health; RG1-991; Reproductive medicine

Despite significant improvements, postpartum family planning uptake remains low for women in sub-Saharan Africa. Transmitting education a comprehensible way during antenatal care (ANC) has the potential long-term positive impact on contraceptive use. We followed one-year to examine and continuation of following enrollment group versus individual ANC. A longitudinal, prospective cohort design was used. Two hundred forty were assigned ANC (n = 120) or standard, at their first visit. Principal outcome measures included intent use immediately modern method postpartum. Additionally, data collected intended actual length exclusive breastfeeding Pearson chi-square tests used test statistically differences between groups. Odds ratios adjusted odds calculated using logistic regression. Women who participated more likely non-modern contraception than those (59.1% vs. 19%, p < .001). This relationship improved when controlled intention, age, religion, gravida, (AOR 6.690, 95% CI: 2.724, 16,420). had higher 8.063, Those exclusively breastfeed 6 months (75.5% 50%, remained 3.796, 1.558, 9.247). Group be an effective model improving post-partum up one-year. Antenatal presents unique opportunity influence adoption planning. is study low-resource setting. holds increase continuation. Not applicable. No health related outcomes reported.