RESULTS
Of 9536 women eligible for the current
analysis, 78% had received prenatal
counseling, 86% had received postpartum
counseling, and 72% had received
both (Table). Compared with
those who had received no counseling,
those who had received counseling
during 1 time period (either prenatal or
postpartum) and those who received
counseling during both time periods
(prenatal and postpartum) had higher
prevalence and increased odds of
using any method postpartum (69%
vs 81% and 87%, respectively) and
of using a more effective method
postpartum (32% vs 49% and 56%,
respectively).
Findings from the sensitivity analysis,
which excluded women who reported
sterilization postpartum, found a more
pronounced incremental increase in
odds of postpartum use of a more effective
contraceptive method comparing
women who received no counseling (the
referent), those who received counseling
during 1 time period, and those who
received counseling during both time
periods.
Among the entire sample, results for
counseling during both time periods
significantly differed by type of health
insurance before pregnancy for use of
a more effective contraceptive method
postpartum. Although contraceptive
counseling during both time periods
(vs no counseling) was significant for
women in each category of prepregnancy
insurance, greater odds of using a more
effective method postpartum were
observed for women with no insurance
and Medicaid insurance than for those
with private insurance.