Although many of the most effective
methods require little ongoing effort
to use correctly and continuously, they
do require provider initiation. Provider
counseling and method initiation before
hospital discharge may be a practical
strategy to increase the postpartum use
of effective contraceptives because
women are already within the health care
systemand may not return for follow-up
postpartum care visits.
Providing contraceptive counseling
during prenatal and postpartum periods
can be important in increasing postpartum
contraceptive use, thereby
reducing UIP and short IPI. Several
promising approaches for providing
quality contraceptive counseling have
been identified and can be incorporated
into practice; these include emphasizing
the quality of the interaction between
provider and client, personalizing discussions
to meet clients’ individual needs,
addressing psychosocial determinants of
contraceptive use behavior, setting goals
and developing action plans to deal with
anticipated difficulties, and multiple
client contacts. Providers are encouraged
to counsel using a tiered approach (ie,
presenting information on the most
effective methods before presenting information
on less effective methods).
Most contraceptive options, including
many effective methods, are considered
safe during the postpartum period.
Although many of the most effectivemethods require little ongoing effortto use correctly and continuously, theydo require provider initiation. Providercounseling and method initiation beforehospital discharge may be a practicalstrategy to increase the postpartum useof effective contraceptives becausewomen are already within the health caresystemand may not return for follow-uppostpartum care visits.Providing contraceptive counselingduring prenatal and postpartum periodscan be important in increasing postpartumcontraceptive use, therebyreducing UIP and short IPI. Severalpromising approaches for providingquality contraceptive counseling havebeen identified and can be incorporatedinto practice; these include emphasizingthe quality of the interaction betweenprovider and client, personalizing discussionsto meet clients’ individual needs,addressing psychosocial determinants ofcontraceptive use behavior, setting goalsand developing action plans to deal withanticipated difficulties, and multipleclient contacts. Providers are encouragedto counsel using a tiered approach (ie,presenting information on the mosteffective methods before presenting informationon less effective methods).Most contraceptive options, includingmany effective methods, are consideredsafe during the postpartum period.
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