The effect of contraceptive counselling in the pre and post-natal period on contraceptive use at three months after delivery among Italian and immigrant women

The effect of contraceptive counselling in the pre and post-natal period on contraceptive use at three months after delivery among Italian and immigrant women

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INTRODUCTION: Contraceptive counselling in the pre Washing Up Bowl and post-natal period may be important for the use of postpartum contraception and prevention of induced abortion.This paper evaluates the use of postpartum contraceptives and the factors associated with it in a sample of Italian and immigrant women.MATERIALS AND METHODS: Data are drawn from two population-based follow-up surveys conducted to evaluate the quality of maternal care in 25 Italian Local Health Units in 2008/9 and 2010/1.

Descriptive analyses and logistic regression models for complex survey data were used.RESULTS: The use of effective contraceptives in the postpartum period is similar between Italians and immigrants (65%).Fifty-nine percent of Italians and 63% of immigrants received contraceptive counselling by natal care services.

Women who received counselling are more likely to use effective contraceptives (Italians OR = 2.55 95% CI 2.06 - 3.

14; immigrants OR = 4.01 95% CI 2.40 - 6.

70).CONCLUSIONS: This study supports the notion that health professionals should take every opportunity during pregnancy, childbirth and puerperium to provide information and Collections counselling to improve knowledge and awareness of contraception.