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. 2014 Mar;124(3):193-7.
doi: 10.1016/j.ijgo.2013.09.021. Epub 2013 Dec 12.

Outreach and integration programs to promote family planning in the extended postpartum period

Sarita Sonalkar  1 , Sheila Mody  2 , Mary E Gaffield  3
Affiliations

Outreach and integration programs to promote family planning in the extended postpartum period

Sarita Sonalkar et al. Int J Gynaecol Obstet. 2014 Mar.

Abstract

Background: WHO recommends birth spacing to improve the health of the mother and child. One strategy to facilitate birth spacing is to improve the use of family planning during the first year postpartum.

Objectives: To determine from the literature the effectiveness of postpartum family-planning programs and to identify research gaps.

Search strategy: PubMed and the Cochrane Central Register of Controlled Trials were systematically searched for articles published between database inception and March 2013. Abstracts of conference presentations, dissertations, and unpublished studies were also considered.

Selection criteria: Published studies with birth spacing or contraceptive use outcomes were included.

Data collection and analysis: Standard abstract forms and the US Preventive Services Task Force grading system were used to summarize and assess the quality of the evidence.

Main results: Thirty-four studies were included. Prenatal care, home visitation programs, and educational interventions were associated with improved family-planning outcomes, but should be further studied in low-resource settings. Mother-infant care integration, multidisciplinary interventions, and cash transfer/microfinance interventions need further investigation.

Conclusions: Programmatic interventions may improve birth spacing and contraceptive uptake. Larger well-designed studies in international settings are needed to determine the most effective ways to deliver family-planning interventions.

Keywords: Birth spacing; Family planning; Postpartum period; Programmatic interventions; Rapid repeat birth; Systematic review; Teen pregnancy.

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Figures

Figure 1
Figure 1
Flow chart of study selection process.
See this image and copyright information in PMC

References

    1. Singh S, Darroch JE. Adding It Up: Costs and Benefits of Contraceptive Services. Estimates for 2012. http://www.unfpa.org/webdav/site/global/shared/documents/publications/20.... Published 2012.
    1. Borda M, Winfrey W. Postpartum Fertility and Contraception: An Analysis of Findings from 17 Countries. http://www.k4health.org/sites/default/files/Winfrey_Borda_17countryanaly.... Published March 2010.
    1. World Health Organization . Report of a WHO Technical Consultation on Birth Spacing. Geneva, Switzerland: Jun, 2005. pp. 13–15. http://www.who.int/maternal_child_adolescent/documents/birth_spacing.pdf. Published 2006.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. - PMC - PubMed
    1. Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM, et al. Current methods of the US Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20(3 Suppl):21–35. - PubMed

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