The effect of an educational video on the immediate insertion of postpartum contraceptive implants: A randomized controlled trial

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY International Journal of Gynecology & Obstetrics Pub Date : 2024-09-18 DOI:10.1002/ijgo.15921

Nutruja Boontor, Srinaree Kaewrudee, Jen Sothornwit

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Abstract

Objective

To assess the impact of an educational video on immediate postpartum contraceptive implant utilization.

Methods

This was a randomized controlled study conducted in a university hospital. Postpartum women aged over 18 years were recruited and divided into two groups: the intervention group, which viewed a 7-min educational video about contraceptive implants; and the control group, which did not. We evaluated the uptake of contraceptive implants immediately and during a 12-week period postpartum, in addition to the reasons for not selecting this method.

Results

A total of 202 participants were included in the study, 101 in each group. Viewing the educational video was associated with higher immediate postpartum contraceptive implant usage (22.77% vs 10.89%; relative risk [RR] 2.09, 95% confidence interval [CI] 1.08–4.06). However, no significant difference was observed at the postpartum follow-up visit (29.9% vs 25.74%; RR 1.61, 95% CI 0.74–1.82). The primary reasons for not selecting contraceptive implants were concerns about potential side effects and discomfort associated with the insertion procedure.

Conclusion

The inclusion of an animated educational video significantly improved immediate postpartum contraceptive implant uptake, making it a potentially viable strategy in settings with high rates of loss to follow-up. However, further research into how to address patients' fears regarding the implant is required.

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教育视频对立即植入产后避孕植入物的影响：随机对照试验。

目的：评估教育视频对产后立即使用避孕皮下埋植剂的影响。方法：这是一项在大学医院进行的随机对照研究。我们招募了 18 岁以上的产后妇女，并将她们分为两组：干预组和对照组，前者观看了 7 分钟的避孕皮下埋植剂教育视频，后者则没有观看。我们评估了产后即刻和 12 周内采取皮下埋植避孕法的情况，以及不选择这种方法的原因。结果共有 202 人参加了研究，每组 101 人。观看教育视频与更高的产后立即使用避孕植入物率相关（22.77% vs 10.89%；相对风险 [RR] 2.09，95% 置信区间 [CI]1.08-4.06）。然而，在产后随访中未观察到明显差异（29.9% vs 25.74%；RR 1.61，95% CI 0.74-1.82）。不选择植入避孕药具的主要原因是担心潜在的副作用和植入过程中的不适。然而，如何消除患者对植入手术的恐惧还需要进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gynecology & Obstetrics 医学-妇产科学

CiteScore

5.80

自引率

2.60%

发文量

493

审稿时长

3-6 weeks

期刊介绍： The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.