Family Planning Counseling for Women With Chronic Medical Conditions in an Inpatient Setting

Sutter Health76 enrolled

Overview

Women with chronic medical conditions have been found in multiple studies to use birth control less often compared to women without chronic medical conditions. The investigators hypothesized that approaching women with chronic medical conditions who were admitted to the hospital and having a bedside conversation about pregnancy intention and counseling regarding birth control usage along with offering to start birth control before discharge would increase the use of birth control in this population. As a separate intervention, the investigators hypothesized that having a brief conversation with the participants and then giving them a flyer that recommended talking with their doctor about birth control could also increase the use of birth control in this population.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chronic Disease

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Currently admitted to the hospital * Has one or more qualifying chronic medication conditions listed in their chart (hypertension, obesity with BMI\>35, diabetes, current or history of breast cancer, rheumatoid arthritis, sickle cell disease, or lupus) Exclusion Criteria: * Currently pregnant * Using surgical or non-surgical contraception * Immediately post-partum or admitted to the gynecology service * Non-English speaking * Non-verbal or too ill to consent

Outcomes

Primary Outcomes

Contraception use - 3 months

Number of patients using contraception 3 months post discharge as ascertained by telephone interview.

Time frame: 3 months

Pregnancy - 3 months

Number of pregnancies 3 months post discharge as ascertained by telephone interview.

Time frame: 3 months

Contraception use - 12 months

Number of patient using contraception 12 months post discharge as ascertained by telephone interview.

Time frame: 12 months

Pregnancy - 12 months

Number of pregnancies 12 months post discharge as ascertained by telephone interview.

Time frame: 12 months

Secondary Outcomes

General contraception usage

Percent of study population using contraception at time of screening

Time frame: up to 5 minutes

EHR accuracy

Percentage of patients where the electronic medical record was inaccurate regarding patient's contraception usage

Time frame: up to 5 minutes

Contraception initiation

Number of patients in the counseling arm who initiated contraception immediately after study intervention

Time frame: up to 1 hour