The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice

Not Applicable

Completed

• Conditions: Contraception; Contraception Behavior
• Interventions: Other: Questionnaire

• Registration Number: NCT02213874
• Lead Sponsor: Medical University of South Carolina

Brief Summary

The purpose of this research is to understand the relationship between trust in the health care system and choice of contraception during the postpartum period among pregnant women receiving prenatal care.

Research subjects will complete a questionnaire at enrollment and between delivery and within 5 days of hospital discharge.

A chart review will also be completed to gather use of a birth control method at the six week postpartum visit as well as pertinent medical diagnoses and recorded data such as height, weight, body mass index, and contraceptive plan as documented in the postpartum medical chart.

Detailed Description

The aims of the proposed research are three-fold:

1. To identify whether trust in the health care system is associated with choice of the highest efficacy contraception (intrauterine contraception, implantable contraception, and sterilization) in the immediate postpartum period among pregnant women receiving prenatal care.

2. To explore which patient-level factors (sociodemographic, reproductive history, future pregnancy intentions) and provider-level factors (antenatal contraceptive counseling) are associated with choice of the highest efficacy contraception in the immediate postpartum period among pregnant women receiving prenatal care.

3. To determine whether trust in the health care system is altered during the receipt of prenatal care or delivery.

Study Timeline

• Study Start: 2012-01
• Study First Submitted: 2014-08-05
• Study First Submitted QC: 2014-08-07
• Study First Posted: 2014-08-12
• Primary Completion: 2015-01
• Study Completion: 2015-01
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-27
• Last Update Posted: 2023-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 208

Inclusion Criteria

• Pregnant Women receiving prenatal care at Medical University of South Carolina (MUSC)
• Age 18 or older

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Exclusion Criteria

• Greater than 20 weeks gestation

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Questionnaire	Questionnaire	A questionnaire will be administered during the early stages of prenatal care \& again during the postpartum period. The initial questionnaire will assess trust in the health care system, locus of control, religiosity, health literacy \& collect information about demographics, contraceptive \& reproductive history, future pregnancy intentions, \& baseline knowledge about contraception. The postpartum questionnaire will repeat questions about future pregnancy \& contraception intentions, trust in the health care system, knowledge of contraception and collect new information about characteristics of antenatal contraceptive counseling received including whether a provider recommended a specific method of contraception, the amount of counseling received, \& the type of counseling received.

Primary Outcome Measures

Name	Time	Method
Choice of long acting contraception (IUD or implant) for postpartum contraception	immediately postpartum	Using a questionnaire adminstered immediately postpartum, we will ascertain whether participants indicate plan to use either an IUD or implant for contraception. We will also measure use of IUD or implant through chart abstraction of their 6 week postpartum visit.

Secondary Outcome Measures

Name	Time	Method
Trust in the health care system	immediately postpartum	We will also evaluate trust as an outcome and evaluate whether certain patient-level or antepartum care characteristics predict higher levels of trust. Trust is measured through a validated scale containing 17 questions measured using a likert scale.

Trial Locations

Locations (1)

MUSC Women's Health; 🇺🇸 Charleston, South Carolina, United States