Bringing postnatal contraception back into the hospital
PHE ePoster Library. Thwaites A. Sep 14, 2016; 138073; 219 Disclosure(s): The faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists have paid my travel and accommodation costs to attend this meeting.
Dr. Annette Thwaites
Dr. Annette Thwaites
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Abstract
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Abstract IntroductionPostnatal contraception has fallen down a gap between services yet approximately 50% of UK births are unplanned at huge national and personal cost. This work summarises initiatives to reintroduce contraceptive services into a hospital serving a young, inner-city population with high conception, teenage pregnancy and termination rates. It aims to increase provision for vulnerable women and test the feasibility of an inclusive service.MethodsContraception advice and implants have been provided to women at high safeguarding risk. A doctor-administered, 10-item questionnaire on contraception choices was conducted on the postnatal ward. Implant insertion was offered to women who said they were “likely” or “very likely” to choose this method.Results24 implants have been fitted in high-risk cases such as schizophrenia and extreme multiparity. 118 women completed the survey; 1 declined. 84% would like to get contraception or contraception information on the postnatal ward. 35% of women were “likely” or “very likely” to choose the implant. Women were twice as likely to choose it if they had more than one child, were under 25 or had an unplanned pregnancy. 19% of those who said they were “likely” or “very likely” to choose this method accepted an implant; this represented a 7% uptake overall. ConclusionsWomen would like contraception provision on the postnatal ward and those at high risk of unplanned pregnancy are more likely to choose implants in this setting. The business case for a comprehensive service is now being developed as a collaboration between maternity, sexual and public health.
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