Contraceptive service needs of women with young children presenting for pediatric care

doi:10.1016/j.contraception.2015.07.004

. 2015 Nov;92(5):508-12.

doi: 10.1016/j.contraception.2015.07.004. Epub 2015 Jul 18.

Contraceptive service needs of women with young children presenting for pediatric care

Krishna K Upadhya¹, Anne E Burke², Arik V Marcell³, Kamila Mistry⁴, Tina L Cheng⁵

Affiliations

¹ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: kupadhy2@jhmi.edu.
² Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 4940 Eastern Avenue, Baltimore, MD 21224, USA. Electronic address: aburke@jhmi.edu.
³ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: amarcel2@jhmi.edu.
⁴ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Office of Extramural Research, Education and Priority Populations, Agency for Healthcare Research and Quality, 540 Gaither Road, Room 2034, Rockville, MD 20850, USA. Electronic address: kmistry2@jhmi.edu.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: tcheng2@jhmi.edu.

PMID: 26197265
PMCID: PMC4807654
DOI: 10.1016/j.contraception.2015.07.004

Contraceptive service needs of women with young children presenting for pediatric care

Krishna K Upadhya et al. Contraception. 2015 Nov.

. 2015 Nov;92(5):508-12.

doi: 10.1016/j.contraception.2015.07.004. Epub 2015 Jul 18.

Authors

Krishna K Upadhya¹, Anne E Burke², Arik V Marcell³, Kamila Mistry⁴, Tina L Cheng⁵

Affiliations

¹ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: kupadhy2@jhmi.edu.
² Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 4940 Eastern Avenue, Baltimore, MD 21224, USA. Electronic address: aburke@jhmi.edu.
³ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: amarcel2@jhmi.edu.
⁴ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Office of Extramural Research, Education and Priority Populations, Agency for Healthcare Research and Quality, 540 Gaither Road, Room 2034, Rockville, MD 20850, USA. Electronic address: kmistry2@jhmi.edu.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21287, USA. Electronic address: tcheng2@jhmi.edu.

PMID: 26197265
PMCID: PMC4807654
DOI: 10.1016/j.contraception.2015.07.004

Abstract

Objectives: The primary objective of this study is to characterize the need for contraceptive services and contraceptive method use among women with young children presenting to child health clinics. A secondary objective is to characterize the factors, including access to care and health needs, that exist in this population and to evaluate their association with contraceptive method use.

Study design: This is a cross-sectional study of women with children under age 36 months presenting to four child health practices in the Baltimore, Maryland, area. Participating women completed a survey to assess desire for pregnancy, contraceptive method use and related characteristics.

Results: A total of 238 participants (82%) were in need of contraceptive services (fertile and not desiring pregnancy). Overall, 59 (25%) of women in need were not using a contraceptive method (unmet need) and 79 (33%) were using a highly effective method (implant or intrauterine device). Factors associated with lower odds of unmet need for contraceptive services included attendance at a routine postpartum visit and visiting a healthcare provider to discuss contraception after pregnancy. Approximately half of index pregnancies were unintended and this was the only health factor associated with greater odds of using of a highly effective contraceptive method.

Conclusions: Most women presenting with young children for pediatric care indicated that they were not currently trying to become pregnant and reported current methods of pregnancy prevention that ranged from none to highly effective. Women who had not sought postpregnancy contraceptive care were more likely to have unmet need for contraceptive services.

Implications: Child health clinics may be a novel site for providing contraceptive care to women with children as part of a strategy to reduce unplanned pregnancies.

Keywords: Contraception; Family planning; Health services; Pediatrics; Preconception health.

PubMed Disclaimer

Cited by

Understanding Factors Associated with Postpartum Visit Attendance and Contraception Choices: Listening to Low-Income Postpartum Women and Health Care Providers.
Henderson V, Stumbras K, Caskey R, Haider S, Rankin K, Handler A. Henderson V, et al. Matern Child Health J. 2016 Nov;20(Suppl 1):132-143. doi: 10.1007/s10995-016-2044-7. Matern Child Health J. 2016. PMID: 27342600 Free PMC article.
Mi Familia Entera: Contraceptive Use Among Spanish-Speaking Mothers of Young Children.
Caballero TM, Bou Delgado L, Wu L, Upadhya K, Johnson SB, DeCamp LR. Caballero TM, et al. Matern Child Health J. 2022 Jan;26(1):139-148. doi: 10.1007/s10995-021-03300-6. Epub 2021 Nov 29. Matern Child Health J. 2022. PMID: 34845572
Postpartum Family Planning in Pediatrics: A Survey of Parental Contraceptive Needs and Health Services Preferences.
Congdon JL, Bardach NS, Franck LS, Brindis CD, Boscardin WJ, Carrasco Z, Cabana MD, Dehlendorf C. Congdon JL, et al. Acad Pediatr. 2023 Sep-Oct;23(7):1417-1425. doi: 10.1016/j.acap.2023.03.009. Epub 2023 Mar 22. Acad Pediatr. 2023. PMID: 36958531 Free PMC article.
Latina Immigrants' Experiences Accessing Contraceptive Services Beyond the Postpartum Period and the Role of Community and Pediatric Settings.
Caballero TM, Bevilacqua K, Polk S. Caballero TM, et al. Qual Health Res. 2025 May 23:10497323251336577. doi: 10.1177/10497323251336577. Online ahead of print. Qual Health Res. 2025. PMID: 40407026

References

1. Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001–2008. American J Public Health. 2014;104(S1):S44–S48. - PMC - PubMed
1. Sawhill I, Karpilow Q, Venator J. The Impact of Unintended Childbearing on Future Generations. Washington: The Brookings Institution; 2014. [Accessed at: http://www.brookings.edu/research/papers/2014/09/12-impact-unintended-ch.... June24, 2015]
1. Mayer JP. Unintended childbearing, maternal beliefs, and delay of prenatal care. Birth. 1997;24(4):247–252. - PubMed
1. Orr ST, Miller CA, James SA, Babones S. Unintended pregnancy and preterm birth. Paediatr Perinat Epidemiol. 2000;14(4):309–313. - PubMed
1. Department of Health and Human Services. Healthy People 2020 Objectives: Family Planning. [Accessed at: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.as.... June 24, 2015]

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

P20 MD000198/MD/NIMHD NIH HHS/United States

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

[1] Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001–2008. American J Public Health. 2014;104(S1):S44–S48. - PMC - PubMed

[2] Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001–2008. American J Public Health. 2014;104(S1):S44–S48. - PMC - PubMed

[3] Sawhill I, Karpilow Q, Venator J. The Impact of Unintended Childbearing on Future Generations. Washington: The Brookings Institution; 2014. [Accessed at: http://www.brookings.edu/research/papers/2014/09/12-impact-unintended-ch.... June24, 2015]

[4] Sawhill I, Karpilow Q, Venator J. The Impact of Unintended Childbearing on Future Generations. Washington: The Brookings Institution; 2014. [Accessed at: http://www.brookings.edu/research/papers/2014/09/12-impact-unintended-ch.... June24, 2015]

[5] Mayer JP. Unintended childbearing, maternal beliefs, and delay of prenatal care. Birth. 1997;24(4):247–252. - PubMed

[6] Mayer JP. Unintended childbearing, maternal beliefs, and delay of prenatal care. Birth. 1997;24(4):247–252. - PubMed

[7] Orr ST, Miller CA, James SA, Babones S. Unintended pregnancy and preterm birth. Paediatr Perinat Epidemiol. 2000;14(4):309–313. - PubMed

[8] Orr ST, Miller CA, James SA, Babones S. Unintended pregnancy and preterm birth. Paediatr Perinat Epidemiol. 2000;14(4):309–313. - PubMed

[9] Department of Health and Human Services. Healthy People 2020 Objectives: Family Planning. [Accessed at: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.as.... June 24, 2015]

[10] Department of Health and Human Services. Healthy People 2020 Objectives: Family Planning. [Accessed at: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.as.... June 24, 2015]

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Contraceptive service needs of women with young children presenting for pediatric care

Affiliations

Contraceptive service needs of women with young children presenting for pediatric care

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical