{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T23:44:22Z","timestamp":1770421462154,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effect of one provider to one client counseling and one provider to a group client counseling on the uptake of postpartum contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a hospital\u2010based prospective cohort study among women attending a postpartum clinic at Korle\u2010Bu Teaching Hospital and Greater Accra Regional Hospital. Postpartum mothers were recruited daily from April 1, 2017 to November 28, 2017. Mothers from this cohort that used a contraceptive method within a year postpartum were determined at 3, 6, 9, and 12\u2009months after recruitment. A <jats:italic>P<\/jats:italic> value of less than 0.05 was considered statistically significant for all analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 982 women surveyed, contraceptive uptake among women who received one\u2010to\u2010one counseling was 306\/600 (51.0%) and that for women who received group counseling was 48\/382 (12.6%) (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). Factors associated with contraceptive uptake during postpartum period were: one\u2010to\u2010one counseling (adjusted odds ratio [aOR] 7.05, 95% confidence interval [CI] 4.94\u201310.07), mothers' age (aOR 0.95, 95% CI 0.91\u20130.98), being single (aOR 0.54, 95% CI 0.35\u20130.85), cohabiting (aOR 0.39, 95% CI 0.22\u20130.69), and previous use of contraception (aOR 1.55, 95% CI 1.12\u20132.15).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One\u2010to\u2010one counseling was associated with a significantly greater uptake of contraception during the postpartum period compared with group counseling. Other factors associated with uptake were age, marital status, and history of contraceptive use.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14654","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T17:43:11Z","timestamp":1673631791000},"page":"794-802","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of one\u2010to\u2010one versus group counseling on uptake of postpartum contraception in selected hospitals in Ghana: A prospective cohort study"],"prefix":"10.1002","volume":"161","author":[{"given":"Kwaku","family":"Asah\u2010Opoku","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology University of Ghana Medical School, College of Health Sciences, University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem","family":"Mumuni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology University of Ghana Medical School, College of Health Sciences, University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donne Kofi","family":"Ameme","sequence":"additional","affiliation":[{"name":"Ghana Field Epidemiology and Laboratory Training Programme University of Ghana, School of Public Health  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Gafaru","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Ghana Field Epidemiology and Laboratory Training Programme University of Ghana, School of Public Health  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Samba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology University of Ghana Medical School, College of Health Sciences, University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kobinah","family":"Nkyekyer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology University of Ghana Medical School, College of Health Sciences, University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60685-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1197080"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2005.00042.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2014.00393.x.Intended"},{"key":"e_1_2_9_6_1","unstructured":"GSS GHS ICF.2017.Ghana Maternal Health Survey Key Findings."},{"key":"e_1_2_9_7_1","unstructured":"Ghana Statistical Service (GSS) Ghana Health Service (GHS) & ICF Macro International2009.Ghana Demographic and Health Survey.2014."},{"key":"e_1_2_9_8_1","unstructured":"WHO.Statement for Collective Action for Postpartum Family Planning.WHO.2013."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2022.02.017"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-060308"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-022-01361-6"},{"key":"e_1_2_9_12_1","unstructured":"Korle Bu Teaching Hospital.2015 Annual Report. 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