Postpartum contraceptive planning of women with substance abuse disorders.
Int J Clin Pharm
; 43(4): 1006-1014, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-33236276
ABSTRACT
BACKGROUND:
Women with substance abuse disorders have lower use of contraception. Unplanned pregnancies increase risk of fetal exposure to addictive and teratogenic substances. Postpartum inpatient periods for these women can be challenging times to facilitate contraception planning.OBJECTIVE:
To explore postnatal contraceptive planning practices, patient preferences for contraception, and supply challenges, and to identify how clinical pharmacists may best provide care in this context.SETTING:
A tertiary maternity referral hospital in metropolitan Victoria, Australia (January 2015-December 2018).METHOD:
A retrospective cohort study was conducted on postnatal women with substance abuse disorders. Patients were excluded if they had delivered at another health service, had inadequate documented evidence of a substance abuse disorder, or had incomplete or unavailable medical records. Records were reviewed for demographic data, admission details, and documented contraceptive planning. MAIN OUTCOMEMEASURES:
Documented contraceptive planning, patient contraception preferences and identified supply challenges.RESULTS:
Ninety-three women were included. Seventy-one (76.3%) had psychiatric disorders or impairments, and 92 (98.9%) had identifiable follow-up challenges (eg. Homelessness). Nine (9.7%) self-discharged/absconded. Eighty-seven (93.5%) had documented postnatal contraception discussions. Sixty-two of 87 (71.3%) considered a medicine/device, three (3.4%) preferred condoms, 10 (11.5%) considered sterilisation, 2 (2.3%) preferred no contraception, and 16 (18.4%) undecided. Etonogestral 68 mg implants were most commonly prescribed (28 of 42; 66.7%).CONCLUSION:
Inpatient postpartum periods for this cohort were characterised by psycho-social complexities, inconsistent contraceptive planning documentation, and patients seemingly unprepared to consider contraception. This study highlights a need for an earlier decision-making process and pragmatic counselling with antenatal pharmacists.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anticoncepcionais
/
Transtornos Relacionados ao Uso de Substâncias
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Int J Clin Pharm
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Austrália