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NCT Number: NCT05550064

Structured Contraceptive Counseling During Pregnancy

Unintended pregnancy is common among women of fertile age, and also among those who have recently given birth. A Swedish study has shown that about 7.7% experience a new pregnancy, and that 2.5% will have an abortion between 12-24 months from childbirth.

This is a prospective observational intervention study, aiming to evaluate the effects of structured contraceptive counseling during pregnancy on uptake of contraception postpartum and more specifically on long-acting reversible contraceptive methods, and to identify and explore the provider's and patient's experiences of structured contraceptive counseling during pregnancy.

Recruiting

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Key information

Conditions

Contraception Contraceptive Implant Counseling Intrauterine Device Long-acting Reversible Contraception

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Health Care Region Dalarna, Falun, Sweden

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years or older, gestational week 30 or more, need for contraception 6 months or more after delivery

Exclusion criteria

  • Language barrier that affects participation when an interpreter is not available, assisted fertilization, planned sterilization of partner, use of contraception for other purposes than pregnancy prevention.

Treatment and study plan

Structured contraceptive counseling

Other
  • Educational video - healthcare providers (Medical doctors and nurse-midwives)present available contraceptives that could be used after delivery, with emphasis on effectiveness, how they should be used, mechanism of action and health benefits.
  • The four key questions are to be asked to all pregnant women to make them reflect on factors that highly affects choice of contraceptives.
  • A tiered effectiveness chart will be used to visualize the effectiveness of different contraceptives, and guide the prospective user in her choice depending on the answers to the key questions
  • The box of contraceptive models are used for the prospective user to inspect, hold, feel the different contraceptives, as this has been shown to decrease fear regarding specific methods.

Primary outcomes

  1. Difference in proportions of LARC use 6 months postpartum among women receiving structured contraceptive counseling compared to standard care during pregnancy.

    Time frame: 6 months post partum

    Percentage

Secondary outcomes

  1. New pregnancy

    Time frame: 6, 12, 18, and 24 months postpartum

    Categorical (yes/no)

  2. Outcome of new pregnancy

    Time frame: 6, 12, 18, nd 24 months postpartum

    Categorical (yes/no) for planing to keep; kept; misscarriage; ectopic pregnancy; planning abortion; had an abotion

Study contacts

Contact information is provided by the study sponsor or research team.

Niklas Envall, PhD

CONTACT

[email protected]

+46704090925

Sponsors and collaborators

Lead sponsor

Dalarna University

Other

Registry information

Official study title

Evaluating Effects of Prepartum Structured Contraceptive Counseling to Increase Postpartum Use of Long-acting Reversible Contraception

Important dates

Study start
2022
Primary completion
2025
Study completion
2026
First posted
Sep 22, 2022
Registry last updated
Sep 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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