{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:42:48Z","timestamp":1777916568506,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Provider counseling may influence women's postpartum family planning decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We conducted an anonymous Internet-based cross-sectional survey of postpartum women regarding multiple topics, including prenatal\/postpartum care and family planning. We used multivariable logistic regression to determine associations between quantity of provider counseling (indexed as number of family planning topics discussed with a health care provider) and women's decisions regarding contraception and pregnancy spacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      From January to May 2016, 2,850 women completed the survey and met inclusion criteria. Among this group, the majority were white (93%), \u226530 years (63%), and had obtained a college degree or higher (74%). Approximately half (49%) desired an interpregnancy interval (IPI) &gt;2 years, and the minority (21%) used a highly effective contraceptive method (defined as long-acting reversible contraception or sterilization). The majority of women (56%) had received counseling on three to six family planning topics (defined as \u201cmore counseling\u201d in regression models). Women who received more counseling were more likely to use a highly effective contraceptive method (adjusted odds ratio [AOR] 1.33, confidence interval [95% CI] 1.09\u20131.62) but were not more likely to desire an IPI &gt;2 years (AOR 0.96, 95% CI 0.81\u20131.14). Desired IPI modified the association between provider counseling and contraception (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.06 for interaction): Among those desiring an IPI &gt;2 years, more counseling was associated with use of a highly effective contraceptive method (AOR 1.58, 95% CI 1.23\u20132.03), but this was not observed among those desiring a shorter IPI (AOR 1.05, 95% CI 0.73\u20131.49).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Contraceptive decisions depend on both provider counseling and patient goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2019.7872","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T16:14:42Z","timestamp":1584375282000},"page":"847-853","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Provider Counseling and Women's Family Planning Decisions in the Postpartum Period"],"prefix":"10.1177","volume":"29","author":[{"given":"Alison N.","family":"Goulding","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna E.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anitha","family":"Muddana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina."},{"name":"Department of Lactation, North Carolina Women's Hospital, Chapel Hill, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy G.","family":"Bryant","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison M.","family":"Stuebe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina."},{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2012.00308.x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-S3-S3"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1099"},{"key":"e_1_3_5_5_2","first-page":"1","article-title":"Interpregnancy intervals in the United States: Data from the birth certificate and the national survey of family growth","volume":"64","author":"Copen CE","year":"2015","unstructured":"Copen CE, , Thoma ME, , Kirmeyer S. Interpregnancy intervals in the United States: Data from the birth certificate and the national survey of family growth. Natl Vital Stat Rep, 2015; 64:1\u201311.","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182955e58"},{"key":"e_1_3_5_7_2","unstructured":"2020 Topics & Objectives: Family Planning. U.S. Department of Health and Human Services. 2019. Available at: www.healthypeople.gov\/2020\/topicsobjectives2020\/objectiveslist.aspx?topicId=13 Accessed October14 2019."},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.02.036"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000841"},{"key":"e_1_3_5_10_2","first-page":"311","article-title":"Interpregnancy intervals: Impact of postpartum contraceptive effectiveness and coverage","volume":"210","author":"de Bocanegra HT","year":"2014","unstructured":"de Bocanegra HT, , Chang R, , Howell M, , Darney P. Interpregnancy intervals: Impact of postpartum contraceptive effectiveness and coverage. Am J Obstet Gynecol, 2014; 210:311.e1\u2013e8.","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_3_5_11_2","first-page":"821","article-title":"Contraceptive use among postpartum women-12 states and New York City, 2004\u20132006","volume":"58","author":"Whiteman M","year":"2009","unstructured":"Whiteman M, , Curtis K, , Hillis S, et al. Contraceptive use among postpartum women-12 states and New York City, 2004\u20132006. Morb Mortal Wkly Rep, 2009; 58:821\u2013826.","journal-title":"Morb Mortal Wkly Rep"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2015.00037.x"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002633"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.07.059"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.03.023"},{"key":"e_1_3_5_16_2","first-page":"CD001863","article-title":"Education for contraceptive use by women after childbirth","author":"Lopez LM","year":"2015","unstructured":"Lopez LM, , Grey TW, , Hiller JE, , Chen M. Education for contraceptive use by women after childbirth. Cochrane Database Syst Rev, 2015:CD001863.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.04.017"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.03.040"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12017"},{"key":"e_1_3_5_22_2","unstructured":"World Health Organization Department of Reproductive Health and Research (WHO\/RHR) and Johns Hopkins Bloomberg School of Public Health\/Center for Communication Programs (CCP). Family planning: A global handbook for providers (2011 update). Evidence-based guidance developed through worldwide collaboration. 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