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Who is responsible for postpartum contraception advice and provision? The perspective of hospital-based maternity clinicians in New South Wales, Australia.

Jessica R BotfieldMelanie TullochHannah ContziuDeborah J BatesonHala PhippsSarah M WrightKevin McgeechanKirsten I Black
Published in: The Australian & New Zealand journal of obstetrics & gynaecology (2022)
Access to postpartum contraception is critical for the health of the mother and subsequent pregnancies. However, the differential roles and responsibilities of maternity care providers in contraception discussions and provision are often unclear. Our study, part of a larger study on midwifery provision of contraceptive implants, presents the perspectives of hospital-based maternity clinicians. Participants suggested that contraception discussions and provision are a shared responsibility of maternity care providers but identified inconsistencies and issues with current approaches. Access to contraception could be improved through more routine discussions antenatally and postnatally and greater collaboration between maternity care providers in hospital, community and primary care settings.
Keyphrases
  • palliative care
  • healthcare
  • primary care
  • quality improvement
  • preterm birth
  • affordable care act
  • advance care planning
  • risk assessment
  • health insurance
  • chronic pain
  • pregnancy outcomes
  • adverse drug