High-risk Obstetrical Patient Intervention to Promote Birth Interval Spacing Utilizing the Contraceptive CHOICE Project Script to Reduce Unintended Subsequent Pregnancies
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes
- Sponsor
- University of California, San Diego
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Utilization of LARC
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
High-risk obstetrical patient Intervention to promote Birth Interval Spacing utilizing the Contraceptive CHOICE project script to reduce Unintended Subsequent pregnancies (HIBISCUS) is a collaborative study utilizing qualitative methods to assess the acceptability including a family planning specialist's postpartum contraception counseling during and after prenatal care among Latina obstetric women with pre-gestational diabetes. The investigators will compare the effectiveness of HIBISCUS versus usual contraceptive counseling on Long-Acting Reversible Contraception (LARC) use at 3 months postpartum.
Detailed Description
The purpose of this research is to address this gap in long-acting reversible contraception (LARC) counseling among Latinas who have pregnancies complicated by pre-gestational diabetes in order to promote optimal birth-to-pregnancy spacing and planned pregnancies with optimal glucose control. The investigators will utilize Contraceptive CHOICE project which was LARC focused counseling script and removed the cost of contraception. This study had a LARC utilization of 75% compared to the national use of LARC of 7.2% The investigators will conduct a pilot randomized controlled trial among Latina obstetrics patients with pre-gestational diabetes involving a prenatal and postpartum visit with a family planning specialist versus usual contraceptive counseling. The family planning specialist counseling will utilize the Contraceptive CHOICE Project script promoting LARC, 18 month birth-to-pregnancy recommendation and preconception counseling. The intervention's name is HIBISCUS.
Investigators
Sheila Mody
Assistant Professor
University of California, San Diego
Eligibility Criteria
Inclusion Criteria
- •Latina obstetric women
- •Pre-gestational diabetes
- •Obtaining prenatal care in the high-risk obstetrical clinic - Diabetes in Pregnancy
Exclusion Criteria
- •Desires sterilization
Outcomes
Primary Outcomes
Utilization of LARC
Time Frame: 1 year
Utilization of LARC postpartum
Secondary Outcomes
- Acceptability of contraceptive counseling intervention by patients and clinicians(1 year)