Effect of Antenatal Contraceptive Counseling on Long-acting Reversible Contraceptive Used in Adolescent Pregnancy at Sanpasitthiprasong Hospital: A Randomized Controlled Trial

Abstract

Abstract

Objectives: To study the effect of antenatal contraceptive counseling on decision of long-acting reversible contraception (LARC) used in adolescent pregnant women

Materials and methods: Randomized controlled trial included 86 pregnant women less than 20 years old who came to antenatal care clinic at or more than 28 weeks of gestation. The participants were randomly assigned to two groups: 1) intervention group received additional one by one antenatal contraceptive counseling for 15 minutes in a private room, alongside with standard contraceptive counseling at postpartum period or 2) controlled group received routine postpartum counseling. The primary outcome is postpartum contraceptive use, and the secondary outcome is factor influencing the use of contraception were evaluated at 4 weeks postpartum.

Results: There was no significantly difference of LARC used in adolescent pregnant women who received additional antenatal contraceptive counseling compared with control group (83.3% VS 71.4% in intervention and control group, p=0.192). Most pregnant women (61.9%) chose their contraceptive methods by themselves. First three common reasons to use LARC as a contraception were long-acting, highly effective and convenience. First three common reasons to choose non-LARC were afraid of pain, spotting and have had bad experiences about using LARC.