This study aims to investigate the drivers of postpartum contraceptive use with a prospective cohort. The study will clarify the role of contraceptive knowledge, attitudes, norms, and self-efficacy in driving intention to initiate contraception postpartum and describe the impact of environmental barriers on enacting intended postpartum contraception initiation.



Eligible Ages
Over 18 Years
Eligible Genders
Accepts Healthy Volunteers

Inclusion Criteria

  • Age 18 or older - Pregnant - Attending prenatal care visits at one of the two study sites

Exclusion Criteria

  • Under the age of 18 - Cannot complete a survey in English or Spanish - Do not have physical or cognitive ability to complete a survey on a tablet

Study Design

Study Type
Observational Model
Time Perspective

Recruiting Locations

Boston Medical Center
Boston, Massachusetts 02118
Katharine White, MD

More Details

Brigham and Women's Hospital

Study Contact

Elizabeth Janiak, ScD

Detailed Description

This study will be a sequential mixed-methods design with a prospective cohort to identify and explore barriers to contraceptive initiation both immediately after birth and prior to hospital discharge, as well as throughout the fourth trimester. It will include a baseline patient survey, electronic medical record data pull, follow up survey, and qualitative interviews. The investigators will enroll 1400 patients into the prospective cohort, selecting individuals enrolled at prenatal care visits at two sites. The baseline survey will be self-administered. The investigators will then contact participants for a follow-up survey at 12 weeks postpartum. Surveys will be self-administered through a link received by text message or email. Additional analyses will draw on retrospectively collected medical record data. The investigators will invite a subset of 25-30 study subjects to participate in qualitative interviews.


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