{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:09:18Z","timestamp":1788995358954,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>We aimed to develop and pilot a patient\u2010centered group prenatal contraceptive counseling intervention to assist pregnant people in selecting a postpartum contraceptive method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this United States\u2010based mixed\u2010methods study, we conducted focus group discussions (FGDs) with pregnant and postpartum participants to identify priorities and preferences for contraceptive counseling. We then designed a group prenatal contraceptive counseling intervention and administered the intervention among a group of pregnant individuals, with pre\u2010 and post\u2010intervention assessments of changes in contraception knowledge, participant satisfaction, and decisional conflict.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four FGD participants identified several counseling priorities: hearing others' experiences; addressing contraception while breastfeeding and experiencing menstrual changes and\/or weight gain; and seeing and holding contraceptive method models. We incorporated these priorities into the group prenatal contraceptive counseling intervention and tested it among 39 pregnant participants. Compared to pre\u2010intervention, contraceptive knowledge post\u2010intervention improved regarding intrauterine devices' relative effectiveness versus oral contraceptive pills (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) and sterilization compared to external condoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035), as did knowledge of individual contraceptive methods' potential impact on breastfeeding (all\n                      <jats:italic>p<\/jats:italic>\n                      values &lt;\u20090.0001). Most (87%) reported high satisfaction with the counseling intervention and would recommend it to others. Based on a validated decisional conflict scale, most participants (97\u2013100%) felt they had enough support and knowledge after the intervention to choose a contraceptive method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We successfully developed a patient\u2010centered, group prenatal contraceptive counseling intervention based on people's values and preferences, demonstrating high satisfaction, acceptability, and improved contraceptive knowledge. This intervention, designed to address participants' priorities, can be an innovative approach to prenatal contraception counseling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70086","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:03:11Z","timestamp":1788994991000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Pilot Study to Develop and Evaluate an In\u2010Person Group Prenatal Contraceptive Counseling Intervention in the United States"],"prefix":"10.1111","author":[{"given":"Neena","family":"Qasba","sequence":"first","affiliation":[{"name":"Section of Family Planning, Department of Obstetrics, Gynecology &amp; Reproductive Sciences Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbet","family":"Lundsberg","sequence":"additional","affiliation":[{"name":"Section of Family Planning, Department of Obstetrics, Gynecology &amp; Reproductive Sciences Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Stanwood","sequence":"additional","affiliation":[{"name":"Section of Family Planning, Department of Obstetrics, Gynecology &amp; Reproductive Sciences Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen","family":"Gariepy","sequence":"additional","affiliation":[{"name":"Section of Family Planning, Department of Obstetrics, Gynecology &amp; Reproductive Sciences Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"\u201cOptimizing Postpartum Care \u201d accessed October 18 2024 https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/committee\u2010opinion\/articles\/2018\/05\/optimizing\u2010postpartum\u2010care."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000841"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.05.010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.15.1809"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728\u20104465.2012.00308.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182955e58"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7304a1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","unstructured":"L. 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