High-risk Obstetrical Patient Intervention Utilizing the Contraceptive CHOICE Project Script
| Status: | Completed |
|---|---|
| Conditions: | Contraception, Contraception |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 4/17/2018 |
| Start Date: | July 2016 |
| End Date: | October 2017 |
High-risk Obstetrical Patient Intervention to Promote Birth Interval Spacing Utilizing the Contraceptive CHOICE Project Script to Reduce Unintended Subsequent Pregnancies
High-risk obstetrical patient Intervention to promote Birth Interval Spacing utilizing the
Contraceptive CHOICE project script to reduce Unintended Subsequent pregnancies (HIBISCUS) is
a collaborative study utilizing qualitative methods to assess the acceptability including a
family planning specialist's postpartum contraception counseling during and after prenatal
care among Latina obstetric women with pre-gestational diabetes. The investigators will
compare the effectiveness of HIBISCUS versus usual contraceptive counseling on Long-Acting
Reversible Contraception (LARC) use at 3 months postpartum.
Contraceptive CHOICE project script to reduce Unintended Subsequent pregnancies (HIBISCUS) is
a collaborative study utilizing qualitative methods to assess the acceptability including a
family planning specialist's postpartum contraception counseling during and after prenatal
care among Latina obstetric women with pre-gestational diabetes. The investigators will
compare the effectiveness of HIBISCUS versus usual contraceptive counseling on Long-Acting
Reversible Contraception (LARC) use at 3 months postpartum.
The purpose of this research is to address this gap in long-acting reversible contraception
(LARC) counseling among Latinas who have pregnancies complicated by pre-gestational diabetes
in order to promote optimal birth-to-pregnancy spacing and planned pregnancies with optimal
glucose control. The investigators will utilize Contraceptive CHOICE project which was LARC
focused counseling script and removed the cost of contraception. This study had a LARC
utilization of 75% compared to the national use of LARC of 7.2% The investigators will
conduct a pilot randomized controlled trial among Latina obstetrics patients with
pre-gestational diabetes involving a prenatal and postpartum visit with a family planning
specialist versus usual contraceptive counseling. The family planning specialist counseling
will utilize the Contraceptive CHOICE Project script promoting LARC, 18 month
birth-to-pregnancy recommendation and preconception counseling. The intervention's name is
HIBISCUS.
(LARC) counseling among Latinas who have pregnancies complicated by pre-gestational diabetes
in order to promote optimal birth-to-pregnancy spacing and planned pregnancies with optimal
glucose control. The investigators will utilize Contraceptive CHOICE project which was LARC
focused counseling script and removed the cost of contraception. This study had a LARC
utilization of 75% compared to the national use of LARC of 7.2% The investigators will
conduct a pilot randomized controlled trial among Latina obstetrics patients with
pre-gestational diabetes involving a prenatal and postpartum visit with a family planning
specialist versus usual contraceptive counseling. The family planning specialist counseling
will utilize the Contraceptive CHOICE Project script promoting LARC, 18 month
birth-to-pregnancy recommendation and preconception counseling. The intervention's name is
HIBISCUS.
Inclusion Criteria:
- Latina obstetric women
- Pre-gestational diabetes
- Obtaining prenatal care in the high-risk obstetrical clinic - Diabetes in Pregnancy
Exclusion Criteria:
- Desires sterilization
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