{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:39:58Z","timestamp":1784615998801,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2017,5,19]],"date-time":"2017-05-19T00:00:00Z","timestamp":1495152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010898","name":"Edinburgh and Lothians Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010898","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long\u2010acting reversible contraception (<jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content>) postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Health service research evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Community antenatal clinics and hospital maternity settings in National Health Service, Scotland <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women booked for antenatal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Contraceptive counselling with a community midwife (22\u00a0weeks\u2019 gestation) and provision of contraception (with facilitated access to <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32\u201334\u00a0weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Women's views on antenatal contraceptive counselling. Secondary outcomes included (i) uptake of <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> methods and (ii) barriers and facilitators to providing antenatal counselling and contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1369 women in the cohort. Questionnaires were distributed to 1064 women (78%) and completed by 794 (75%). In all, 78% of respondents (<jats:italic>n<\/jats:italic>\u00a0=\u00a0621) discussed contraception antenatally with a community midwife and 74% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0461) found this\u00a0helpful. Although 43% of respondents (<jats:italic>n<\/jats:italic>\u00a0=\u00a0341) were planning to use <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content>, only 9% of the cohort (118 of 1369) received <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> prior to discharge. Community midwives indicated that antenatal contraceptive counselling was now embedded in their role, but hospital staff indicated that workloads impacted upon ability to provide contraception for women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Antenatal contraceptive counselling, delivered by community midwives, is feasible and highly acceptable to women. However, providing contraception and <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> for women before they are discharged home\u00a0remains a challenge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Giving contraceptive advice antenatally is feasible and acceptable.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14674","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T22:25:02Z","timestamp":1491431102000},"page":"2009-2015","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the <scp>APPLES<\/scp> pilot evaluation"],"prefix":"10.1111","volume":"124","author":[{"given":"ST","family":"Cameron","sequence":"first","affiliation":[{"name":"Chalmers Sexual Health Clinic NHS Lothian Edinburgh UK"},{"name":"Simpson Centre for Reproductive Health NHS Lothian Royal Infirmary of Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Craig","sequence":"additional","affiliation":[{"name":"Chalmers Sexual Health Clinic NHS Lothian Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Sim","sequence":"additional","affiliation":[{"name":"Public Health NHS Lothian Waverley Gate Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Gallimore","sequence":"additional","affiliation":[{"name":"Public Health NHS Lothian Waverley Gate Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Cowan","sequence":"additional","affiliation":[{"name":"Simpson Centre for Reproductive Health NHS Lothian Royal Infirmary of Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Dundas","sequence":"additional","affiliation":[{"name":"Simpson Centre for Reproductive Health NHS Lothian Royal Infirmary of Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Heller","sequence":"additional","affiliation":[{"name":"Chalmers Sexual Health Clinic NHS Lothian Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Milne","sequence":"additional","affiliation":[{"name":"Public Health NHS Lothian Waverley Gate Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Lakha","sequence":"additional","affiliation":[{"name":"Public Health NHS Lothian Waverley Gate Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.05.007"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13306"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2015-101198"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12166"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820ce18c"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7410.313"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101165"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.04.015"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.10.001"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.12.006"},{"key":"e_1_2_6_12_1","unstructured":"The Faculty of Sexual and Reproductive Healthcare (FSRH).UK medical Eligibility criteria for Contraceptive Use. [www.fsrh.org\/standards-and-guidance\/uk-medical-eligibility-criteria-for-contraceptive-use\/]. Accessed 6 February 2017."},{"issue":"6","key":"e_1_2_6_13_1","first-page":"CD003036","article-title":"Immediate postpartum insertion of intrauterine device for contraception","volume":"26","author":"Lopez LM","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_15_1","unstructured":"Sexual Health and Blood Borne Virus Framework 2015\u20132020 Update. [www.gov.scot\/Publications\/2015\/09\/5740]. Accessed 6 February 2017."},{"key":"e_1_2_6_16_1","unstructured":"Pregnancy and Parenthood in Young People Strategy. [www.gov.scot\/Publications\/2015\/07\/3144]. Accessed 6 February 2017."},{"key":"e_1_2_6_17_1","unstructured":"National Institute for Health and Care Excellence.Contraceptive Services with a Focus on Young People up to the age of 25. March 2014. [www.nice.org.uk\/guidance\/ph51]. Accessed 6 February 2017."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100770"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101096"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(01)00308-0"},{"key":"e_1_2_6_21_1","unstructured":"The Faculty of Sexual and Reproductive Healthcare (FSRH).Letter of Competence in Subdermal Contraceptive Implant Techniques. [www.fsrh.org\/careers-and-training\/letter-of-competence-subdermal-implants-loc-sdi\/]. Accessed 6 February 2017."},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.11.007"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001798"},{"key":"e_1_2_6_24_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Leading safe choices[www.rcog.org.uk\/en\/global-network\/global-health-projects-and-partnerships\/leading-safe-choices\/]. Accessed 6 February 2017."},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318273eb56"},{"key":"e_1_2_6_26_1","unstructured":"The Faculty of Sexual and Reproductive Healthcare (FSRH).Contraception After Pregnancy.2017[www.fsrh.org.uk]. Accessed 6 February 2017."}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.14674","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.14674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T09:01:41Z","timestamp":1695978101000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.14674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,19]]},"references-count":25,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/1471-0528.14674"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.14674","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,19]]},"assertion":[{"value":"2017-03-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}