Integrating contraceptive services into existing perinatal care: protocol for a community-based cluster randomised controlled trial in Shanghai, China

IntroductionPostpartum contraception is essential to preventing unintended pregnancies and short interpregnancy intervals. The first year after childbirth is a critical period with a high risk of unintended pregnancy and induced abortion. However, the postpartum contraceptive services are weak in Ch...

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Bibliographic Details
Published in:BMJ open 2023-03, Vol.13 (3), p.e066146-e066146
Main Authors: Jin, Longmei, Yin, Anxin, Zhang, Xiaohua, Jiang, Hong, Zhou, Lu, Zhou, Xiaoyan, Wang, Xiurui, Qian, Xu
Format: Article
Language:English
Subjects:
Abortion
Birth control
Child
Childbirth & labor
China
Community gynaecology
Community Health Services
Consent
Contraception
Contraceptive Agents
Family planning
Female
Hospitals
Humans
Infant, Newborn
Intervention
Obstetrics
Perinatal Care
PERINATOLOGY
Postpartum period
Pregnancy
PREVENTIVE MEDICINE
Public Health
Randomized Controlled Trials as Topic
Registration
Reproductive medicine
Womens health
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Summary:IntroductionPostpartum contraception is essential to preventing unintended pregnancies and short interpregnancy intervals. The first year after childbirth is a critical period with a high risk of unintended pregnancy and induced abortion. However, the postpartum contraceptive services are weak in China’s existing maternal and child healthcare system. We propose to evaluate the effects of integrating postpartum contraceptive services into the existing perinatal care system via a cluster randomised controlled trial.Methods and analysisThis cluster randomised controlled trial involves all 13 communities of Minhang District, Shanghai, China. Communities will be randomly allocated, seven in the intervention group and six in the control group. One thousand and three hundred women, 100 women in each community, will be recruited in the study. Women assigned to the intervention group will receive postpartum contraceptive education and counselling during pregnancy, childbirth hospitalisation, postpartum home visits and the 42-day postpartum clinic check-up. Women in the control group will receive routine antenatal and postpartum care. Participants will be recruited in the first trimester during pregnancy and followed up to 1 year postpartum. The primary outcome is the incidence of unintended pregnancy within 1 year after childbirth.Ethics and disseminationThe trial received ethical approval from the Ethics Committee of Shanghai Minhang District Maternal and Child Health Care Hospital (#[2020]KS-02, #[2020]KS-05, #[2020]KS-05-EX). Results will be published in academic journals and disseminated in multiple formats for the health professionals and the public.Trial registration numberChiCTR2000034603.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-066146