{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T08:43:59Z","timestamp":1743583439026},"reference-count":64,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T00:00:00Z","timestamp":1383868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe what puerperal women know about postpartum contraception and to identify their related needs and expectations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Puerperal women face the problem of beginning or resuming contraception, the choice of the right method of contraception and the right time to start it. This choice becomes particularly important in case they breastfeed since the contraceptive method should not interfere with breastfeeding. Different factors, such as the level of knowledge women have about various contraceptive methods, their individual preferences or their desire to have a baby, can strongly influence this choice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study had been carried out within the period of six months, from November 2011\u2013February 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three hundred puerperal women were interviewed before their discharge from a Maternity Home. The women were asked for their personal characteristics, their maternity history, the information they had received, their knowledge and expectations about postpartum contraception and their intention to use contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During pregnancy and postpartum, 45\u00b75% of the women reported that they had received adequate information about contraception. Of these ones, 64\u00b73% reported their intention to use contraception either to avoid pregnancy or to space out future births, even if they did not always have appropriate knowledge about fertility and the use of contraceptive methods during postpartum. During this study, we also discovered that women's intention to use contraception was proportional to their level of education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women need more and appropriate information about postpartum contraception, to make a conscious choice in relation to their needs and without putting their health at risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>To promote awareness of the choices related to postpartum contraception, it is important to understand the personal characteristics that influence or hinder this choice. Midwives can play a very important role in informing women and in developing educational interventions to support a safe contraceptive choice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12432","type":"journal-article","created":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T08:37:08Z","timestamp":1383899828000},"page":"3406-3417","source":"Crossref","is-referenced-by-count":10,"title":["Woman's contraceptive needs and preferences in the postpartum period: an <scp>I<\/scp>talian study"],"prefix":"10.1111","volume":"22","author":[{"given":"Patrizia","family":"Di Giacomo","sequence":"first","affiliation":[{"name":"Health Sciences Department University of Genoa Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Sbarlati","sequence":"additional","affiliation":[{"name":"Family Planning Azienda USL Rimini Rimini"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annamaria","family":"Bagnasco","sequence":"additional","affiliation":[{"name":"Health Sciences Department University of Genoa Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loredana","family":"Sasso","sequence":"additional","affiliation":[{"name":"Health Sciences Department University of Genoa Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,11,8]]},"reference":[{"key":"e_1_2_15_2_1","first-page":"205","article-title":"Contraceptive choices among women in Zaria, Nigeria","volume":"10","author":"Ameh N","year":"2007","journal-title":"Nigerian Journal of Clinical Practice"},{"key":"e_1_2_15_3_1","first-page":"72","article-title":"Return to sexual activity and modern family planning use in the extended postpartum period: an analysis of findings from seventeen countries","volume":"14","author":"Borda MR","year":"2010","journal-title":"African Journal of Reproductive Health"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-2182(98)00058-5"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7271.1255"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.05.010"},{"key":"e_1_2_15_7_1","first-page":"235","article-title":"Support for the resumption of sexual activity in the postpartum woman, a subject devoid of interest","volume":"39","author":"Donati S","year":"2003","journal-title":"Annali dell'Istituto superiore di sanit\u00e0"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500171250"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0287-z"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.07.003"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.07.002"},{"key":"e_1_2_15_12_1","first-page":"47","volume-title":"AAVV, Guida all'esercizio della professione ostetrica","author":"Greco M","year":"2002"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-10-200511150-00006"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001863"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.02829.x"},{"key":"e_1_2_15_16_1","unstructured":"Italian Ministry of Health(1994) Ministerial Decree no. 740\/1994 Profile of Midwifery."},{"key":"e_1_2_15_17_1","unstructured":"Italian Ministry of Health(2011a)Guideline for Physiological Pregnancy Update 2011. 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