{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:03:18Z","timestamp":1780477398734,"version":"3.54.1"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary healthcare practitioners play a pivotal role in postpartum care. Many countries encourage women to attend a postnatal check after birth, providing an ideal opportunity for contraceptive care. However, contraception is often not discussed, increasing the risk of unintended pregnancy and short interpregnancy intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore primary healthcare practitioners\u2019 views and experiences of providing postpartum contraceptive counselling and care to better understand the gaps, needs, and opportunities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A rapid review was conducted of English language peer-reviewed primary research studies from high-income countries focussing on primary healthcare practitioners\u2019 views and experiences of providing postpartum contraceptive counselling and care. Studies were retrieved from five databases, supplemented by Google Scholar and citation searching. Key characteristics were extracted, and thematic analysis identified key themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Altogether, 2255 references were identified, with eight studies included. Four themes were constructed: (1) varied knowledge and attitudes regarding postpartum contraception, including views on of long-acting reversible contraception (LARC), safety concerns, and optimal counselling timing; (2) structural and logistical barriers to contraception provision in primary healthcare, including lack of LARC availability, time constraints, and funding issues; (3) limited contraception education and training for practitioners in LARC provision, with practitioners lacking skills or motivation to upskill; and (4) gaps in postpartum contraception resources and guidelines needed to promote postpartum contraceptive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Improving postpartum contraceptive counselling requires embedding comprehensive contraceptive training in healthcare education, developing standardized guidelines for postpartum appointments, and addressing barriers such as time constraints, lack of resources and funding to support effective contraception care for postpartum women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag022","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:44:25Z","timestamp":1777031065000},"source":"Crossref","is-referenced-by-count":0,"title":["Primary healthcare practitioners\u2019 views and experiences of providing postpartum contraception counselling and care: a rapid review"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7446-3892","authenticated-orcid":false,"given":"Jenna","family":"Perkins","sequence":"first","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Melbourne, VIC 3004 ,","place":["Australia"]},{"name":"Department of General Practice, School of Public Health and Preventive Medicine, Monash University , Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sian","family":"Stuckey","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Central Clinical School , Monash University, Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6158-7376","authenticated-orcid":false,"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Melbourne, VIC 3004 ,","place":["Australia"]},{"name":"Department of General Practice, School of Public Health and Preventive Medicine, Monash University , Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica R","family":"Botfield","sequence":"additional","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Melbourne, VIC 3004 ,","place":["Australia"]},{"name":"Department of General Practice, School of Public Health and Preventive Medicine, Monash University , Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"2026060304035449900_cmag022-B1","first-page":"34","volume-title":"Ensuring Human Rights in the Provision of Contraceptive Information and Services: Guidance and Recommendations","author":"Rodriguez","year":"2014"},{"key":"2026060304035449900_cmag022-B2","doi-asserted-by":"publisher","first-page":"e0214334","DOI":"10.1371\/journal.pone.0214334","article-title":"Providers\u2019 knowledge on postpartum intrauterine contraceptive device (PPIUCD) service provision in Amhara region public health facility, Ethiopia","volume":"14","author":"Abebaw","year":"2019","journal-title":"PLoS One"},{"key":"2026060304035449900_cmag022-B3","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1071\/PY07019","article-title":"Primary health care or primary medical care: in reality","volume":"13","author":"Macdonald","year":"2007","journal-title":"Aust J Prim Health"},{"key":"2026060304035449900_cmag022-B4","doi-asserted-by":"publisher","first-page":"991","DOI":"10.1111\/j.1471-0528.1998.tb10263.x","article-title":"Does an early postnatal check-up improve maternal health: results from a randomised trial in Australian general practice","volume":"105","author":"Gunn","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"key":"2026060304035449900_cmag022-B5","first-page":"674","article-title":"The postpartum visit: why wait 6 weeks?","volume":"35","author":"Piejko","year":"2006","journal-title":"Aust Fam Physician"},{"key":"2026060304035449900_cmag022-B6","first-page":"600","article-title":"Family physicians and provision of immediate postpartum contraception: a CERA study","volume":"49","author":"Moniz","year":"2017","journal-title":"Fam Med"},{"key":"2026060304035449900_cmag022-B7","doi-asserted-by":"publisher","first-page":"1378","DOI":"10.1111\/aogs.13627","article-title":"Contraception after pregnancy","volume":"98","author":"Glasier","year":"2019","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2026060304035449900_cmag022-B8","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s40834-016-0011-8","article-title":"LARC methods: entering a new age of contraception and reproductive health","volume":"1","author":"Shoupe","year":"2016","journal-title":"Contracept Reprod Med"},{"key":"2026060304035449900_cmag022-B9","first-page":"63","article-title":"Barriers to the prescription of LARCs in general practice in New Zealand-a qualitative research study","volume":"132","author":"McGinn","year":"2019","journal-title":"N Z Med J"},{"key":"2026060304035449900_cmag022-B10","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.jclinepi.2020.10.007","article-title":"Cochrane rapid reviews methods group offers evidence-informed guidance to conduct rapid reviews","volume":"130","author":"Garritty","year":"2021","journal-title":"J Clin Epidemiol"},{"key":"2026060304035449900_cmag022-B11","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1093\/eurjcn\/zvab041","article-title":"Rapid reviews: the pros and cons of an accelerated review process","volume":"20","author":"Moons","year":"2021","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2026060304035449900_cmag022-B12"},{"key":"2026060304035449900_cmag022-B13","author":"World Bank Group"},{"key":"2026060304035449900_cmag022-B14","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1097\/AOG.0000000000000137","article-title":"Factors influencing the provision of long-acting reversible contraception in California","volume":"123","author":"Biggs","year":"2014","journal-title":"Obstet Gynecol"},{"key":"2026060304035449900_cmag022-B15","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1136\/bmjsrh-2017-101905","article-title":"Community sexual health providers\u2019 views on immediate postpartum provision of intrauterine contraception. Article","volume":"44","author":"Cooper","year":"2018","journal-title":"BMJ Sex Reprod Health"},{"key":"2026060304035449900_cmag022-B16","doi-asserted-by":"publisher","first-page":"50","DOI":"10.2307\/2133622","article-title":"Birth control and the private physician: the view from Los Angeles","volume":"6","author":"Hulbert","year":"1974","journal-title":"Fam Plann Perspect"},{"key":"2026060304035449900_cmag022-B17","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1136\/jfprhc-2015-101198","article-title":"Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study","volume":"42","author":"Lunniss","year":"2016","journal-title":"J Fam Plann Reprod Health Care"},{"key":"2026060304035449900_cmag022-B18","first-page":"149","article-title":"Health care barriers to provision of long-acting reversible contraception in Wisconsin","volume":"117","author":"Olson","year":"2018","journal-title":"WMJ"},{"key":"2026060304035449900_cmag022-B19","doi-asserted-by":"publisher","first-page":"381","DOI":"10.5694\/mja2.52438","article-title":"General practitioners\u2019 views and experiences of postpartum contraception counselling and provision: a qualitative-descriptive study","volume":"221","author":"Perkins","year":"2024","journal-title":"Med J Aust"},{"key":"2026060304035449900_cmag022-B20","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.contraception.2021.04.029","article-title":"Are Wisconsin resident physicians trained in immediate postpartum long acting reversible contraception?","volume":"104","author":"Rivas","year":"2021","journal-title":"Contraception"},{"key":"2026060304035449900_cmag022-B21","doi-asserted-by":"publisher","first-page":"244","DOI":"10.3109\/02813430903234914","article-title":"Initiation of postpartum contraception: a survey among health centre physicians and nurses in Finland","volume":"27","author":"Sannisto","year":"2009","journal-title":"Scand J Prim Health Care"},{"key":"2026060304035449900_cmag022-B22","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"2026060304035449900_cmag022-B23","author":"Hong"},{"key":"2026060304035449900_cmag022-B24","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1186\/s13643-021-01626-4","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"10","author":"Page","year":"2021","journal-title":"Syst Rev"},{"key":"2026060304035449900_cmag022-B25","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1089\/jwh.2016.5985","article-title":"Healthcare provider attitudes of safety of intrauterine devices in the postpartum period","volume":"26","author":"Rauh-Benoit","year":"2017","journal-title":"J Womens Health (Larchmt)"},{"key":"2026060304035449900_cmag022-B26","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1111\/ajo.12095","article-title":"Immediate post-partum initiation of intrauterine contraception and implants: a review of the safety and guidelines for use","volume":"53","author":"Mwalwanda","year":"2013","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2026060304035449900_cmag022-B27","doi-asserted-by":"publisher","first-page":"106290","DOI":"10.1016\/j.ypmed.2020.106290","article-title":"Implementation science: scaling a training intervention to include IUDs and implants in contraceptive services in primary care","volume":"141","author":"Harper","year":"2020","journal-title":"Prev Med"},{"key":"2026060304035449900_cmag022-B28","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1111\/1753-6405.13242","article-title":"Sustainable and effective methods to increase long-acting reversible contraception uptake from the ACCORd general practice trial","volume":"46","author":"Taft","year":"2022","journal-title":"Aust N Z J Public Health"},{"key":"2026060304035449900_cmag022-B29","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1089\/jwh.2009.1735","article-title":"Providers\u2019 perspectives on challenges to contraceptive counseling in primary care settings","volume":"19","author":"Akers","year":"2010","journal-title":"J Womens Health (Larchmt)"},{"key":"2026060304035449900_cmag022-B30","doi-asserted-by":"publisher","first-page":"71.e1","DOI":"10.1016\/j.ajog.2016.01.162","article-title":"Risk of unintended pregnancy based on intended compared to actual contraceptive use","volume":"215","author":"Reeves","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"2026060304035449900_cmag022-B31","author":"Faculty of Sexual & Reproductive Healthcare (FSRH)"},{"key":"2026060304035449900_cmag022-B32","first-page":"245","article-title":"Health and access issues among Australian adolescents: a rural-urban comparison","volume":"3","author":"Quine","year":"2003","journal-title":"Rural Remote Health"},{"key":"2026060304035449900_cmag022-B33","first-page":"637","article-title":"Evidence-based IUD practice: family physicians and obstetrician-gynecologists","volume":"44","author":"Harper","year":"2012","journal-title":"Fam Med"},{"key":"2026060304035449900_cmag022-B34","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s12875-024-02336-1","article-title":"Barriers and strategies for primary health care workforce development: synthesis of evidence","volume":"25","author":"Endalamaw","year":"2024","journal-title":"BMC Prim Care"},{"key":"2026060304035449900_cmag022-B35","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i3291","article-title":"The financial burden of specialty training","author":"Orr","year":"2016","journal-title":"BMJ"}],"container-title":["Family Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/fampra\/article-pdf\/43\/3\/cmag022\/68177934\/cmag022.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/fampra\/article-pdf\/43\/3\/cmag022\/68177934\/cmag022.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:03:59Z","timestamp":1780473839000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/fampra\/article\/doi\/10.1093\/fampra\/cmag022\/8663993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,3]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,4,3]]}},"URL":"https:\/\/doi.org\/10.1093\/fampra\/cmag022","relation":{},"ISSN":["0263-2136","1460-2229"],"issn-type":[{"value":"0263-2136","type":"print"},{"value":"1460-2229","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,4,3]]},"article-number":"cmag022"}}