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Completed

NCT Number: NCT02213874

The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice

The purpose of this research is to understand the relationship between trust in the health care system and choice of contraception during the postpartum period among pregnant women receiving prenatal care.

Research subjects will complete a questionnaire at enrollment and between delivery and within 5 days of hospital discharge.

A chart review will also be completed to gather use of a birth control method at the six week postpartum visit as well as pertinent medical diagnoses and recorded data such as height, weight, body mass index, and contraceptive plan as documented in the postpartum medical chart.

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Key information

Conditions

Contraception Behavior Behavior Contraception Reproductive Behavior

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

MUSC Women's Health

Charleston, South Carolina, 29425, United States

About this study

The aims of the proposed research are three-fold:

  • To identify whether trust in the health care system is associated with choice of the highest efficacy contraception (intrauterine contraception, implantable contraception, and sterilization) in the immediate postpartum period among pregnant women receiving prenatal care.
  • To explore which patient-level factors (sociodemographic, reproductive history, future pregnancy intentions) and provider-level factors (antenatal contraceptive counseling) are associated with choice of the highest efficacy contraception in the immediate postpartum period among pregnant women receiving prenatal care.
  • To determine whether trust in the health care system is altered during the receipt of prenatal care or delivery.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Pregnant Women receiving prenatal care at Medical University of South Carolina (MUSC)
  • Age 18 or older

Exclusion criteria

  • Greater than 20 weeks gestation

Treatment and study plan

Questionnaire

Other

A questionnaire will be administered during the early stages of prenatal care & again during the postpartum period. The initial questionnaire will assess trust in the health care system, locus of control, religiosity, health literacy & collect information about demographics, contraceptive & reproductive history, future pregnancy intentions, & baseline knowledge about contraception. The postpartum questionnaire will repeat questions about future pregnancy & contraception intentions, trust in the health care system, knowledge of contraception and collect new information about characteristics of antenatal contraceptive counseling received including whether a provider recommended a specific method of contraception, the amount of counseling received, & the type of counseling received.

Primary outcomes

  1. Choice of long acting contraception (IUD or implant) for postpartum contraception

    Time frame: immediately postpartum

    Using a questionnaire adminstered immediately postpartum, we will ascertain whether participants indicate plan to use either an IUD or implant for contraception. We will also measure use of IUD or implant through chart abstraction of their 6 week postpartum visit.

Secondary outcomes

  1. Trust in the health care system

    Time frame: immediately postpartum

    We will also evaluate trust as an outcome and evaluate whether certain patient-level or antepartum care characteristics predict higher levels of trust. Trust is measured through a validated scale containing 17 questions measured using a likert scale.

Sponsors and collaborators

Lead sponsor

Medical University of South Carolina

Other

Collaborators

  • Society of Family Planning

Registry information

Important dates

Study start
2012
Primary completion
2015
Study completion
2015
First posted
Aug 12, 2014
Registry last updated
May 1, 2023

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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