Co-designed counseling improves postpartum contraceptive choices, but organizational barriers remain
Becoming pregnant again soon after giving birth is associated with risks for both mother and child. A study led by Karolinska Institutet and published in The Lancet Obstetrics, Gynecology & Women's Health shows that approaches and guidance developed jointly by midwives and mothers can increase the proportion of women who choose effective contraception after childbirth, but also that…
Co-designed counseling aimed at improving postpartum contraceptive choices saw a slight increase in effective contraceptive method uptake among Swedish women, but not among those born abroad. The study, conducted at 28 Swedish antenatal care clinics, found that the proportion of women choosing effective contraception increased from 45.2% to 48.9% in the intervention group, mainly among women born in Sweden.
However, the increase was not statistically significant among women born outside Sweden. The results, published in The Lancet Obstetrics, Gynecology & Women's Health, highlight the need to address organizational barriers, such as interpreter access, consultation time, and regional implementation capacity, to ensure equitable care.
The IMPROVE-it project, which involved women with migration backgrounds, health care professionals, and researchers, aims to design services that are relevant to all users.
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