Experience of contraceptive care by midwives for nonpostpartum individuals in the Netherlands: a mixed methods study

Midwifery, Journal Year: 2025, Volume and Issue: 145, P. 104362 - 104362

Published: March 5, 2025

Since 2015, Dutch midwives have been authorised to prescribe all contraception. Initially providing contraceptive care postpartum clients, they increasingly offer it anyone. It remains unknown how this broader population experiences care. Therefore, mixed methods study aims explore of nonpostpartum individuals receiving from primary midwives. At 15 practices in the Netherlands, participants were recruited complete a survey and participate an in-depth semi-structured interview, both based on Levesque's Conceptual Framework Access Health. Univariate multivariate logistic regression analyses applied data (n = 91) thematic analysis interview 10). Most (87.8 %) received intrauterine device during their appointment. A majority (58.2 rated 10 out 10. Giving full marks was significantly associated with higher perceived income (adjusted OR 3.19, 95 % CI 1.21-8.81, p 0.021), adjusted for appointment type time since Participants reported understandable information, being taken seriously, having enough Interviews revealed that especially appreciate make them feel at ease, midwives' expertise, convenience access. To conclude, given positive by midwives, efforts should be made improve task sharing increase awareness as contraception providers. Future research compare across types providers (including general practitioners, abortion doctors, gynaecologists) amongst more representative population.

Language: Английский

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Lesbian, Gay, Bisexual, and Queer+ Patients’ Preferences for Contraceptive Counseling and Experiences of Coercion in Contraceptive Care

The Journal of Sex Research, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 9

Published: April 18, 2025

Although one in three U.S. contraceptive clients identify as something other than heterosexual, research has overlooked associations between sexual identity and experiences of provider-based coercion - that is, pressure from a healthcare provider to use or not birth control. In 2023, we used the online Prolific panel survey reproductive-age people assigned female at about their care (N = 1,399; mean age 32.6, SD 8.24). We assessed differences preferences across identities open-ended responses contextualize participants' experiences. More one-third (36%) sample identified lesbian/gay, bisexual, asexual, pansexual, queer, questioning, preferred self-identify (hereafter LGBQ+). Compared heterosexual participants, LGBQ+ participants were more likely experience misalignment how often they would like counseling versus received it. Among those who ever (n 1,197), individuals also heterosexuals contraception. Open-ended revealed clients' with heteronormative assumptions during care. Healthcare systems providers must provide patient-centered all individuals, attention can shape needs.

Language: Английский

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Assessing the Provision of Person-Centered Contraceptive Care at Publicly Supported Clinics Providing Contraceptive Services in the United States

Women s Health Issues, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

We sought to understand the extent which contraceptive care provided at publicly supported family planning clinics in United States aligns with aspects of person-centered care. conducted a descriptive study national sample U.S. between November 2022 and December 2023. measured person-centeredness by scope services offered, including providers solicit prioritize patients' intentions, preferences, goals; dispensing protocols for various methods; availability social such as intimate partner violence screening housing insecurity support. fielded an online survey 2,146 clinics, our analytic was 422 clinics. Our results highlight that most provide contraception using counseling support patient-centeredness, assessing preferences during counseling. However, we found statistically significant variation clinic type within many these measures, higher proportion Planned Parenthood following patient-centered than other types, particularly federally qualified health centers community centers. Publicly some protocols, although there is room improvement. Furthermore, practices vary type. More research should be done patients assess additional elements

Language: Английский

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Contraceptive counseling, method satisfaction, and planned method continuation among women in the U.S. southeast

Contraception, Journal Year: 2024, Volume and Issue: 132, P. 110365 - 110365

Published: Jan. 11, 2024

Language: Английский

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Unfulfilled and method‐specific contraceptive preferences among reproductive‐aged contraceptive users in Arizona, Iowa, New Jersey, and Wisconsin

Health Services Research, Journal Year: 2024, Volume and Issue: 59(3)

Published: March 8, 2024

Abstract Objective To identify characteristics associated with unfulfilled contraceptive preferences, document reasons for these and examine how preferences vary across specific method users. Data Sources Study Setting We draw on secondary baseline data from 4660 reproductive‐aged users in the Arizona, Iowa, New Jersey, Wisconsin Surveys of Women (SoWs), state‐representative surveys fielded between October 2018 August 2020 four states. Design This is an observational cross‐sectional study, which examined associations individuals' reproductive health‐related experiences adjusting sociodemographic characteristics. Our primary outcome interest having preference, a key independent variable experience high‐quality care. also according to current used, as well not using preferred method. Collection/Extraction Methods Survey respondents who indicated use any within last 3 months prior survey were eligible inclusion this analysis. Principal Findings Overall, 23% reported preferring other than their method, ranging 17% Iowa 26% Jersey. Young age (18–24), methods requiring provider involvement, receiving quality care attributes preferences. Those emergency contraception fertility awareness‐based had some highest levels while pills, condoms, partner vasectomy, IUDs identified most methods. Reasons fell largely into one two buckets: system‐level or interpersonal/individual reasons. Conclusions findings highlight that avenues decreasing gap used those be may lie healthcare providers funding streams support delivery

Language: Английский

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Differential associations between experiences of contraceptive care and subsequent contraceptive access and preferences among family planning patients by racial and ethnic identity: Evidence from Arizona, Iowa, and Wisconsin

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(10), P. e0312111 - e0312111

Published: Oct. 11, 2024

While many frameworks exist for building person-centered and equitable systems of contraceptive care, evidence indicates that the reality patients’ experiences care is often not in alignment with these ideals. Historical current contexts racism healthcare system contribute to negative perceptions as well reduced care-seeking behavior, those who identify Black, Indigenous, people color (BIPOC). Our objective this analysis examine whether people’s past are a driver subsequent barriers access, relationship differs across racial ethnic identity. We draw on panel data from five waves surveys collected between 2018–2023 among patients ages fifteen older seeking family planning at sites receive public funding services Arizona, Iowa, Wisconsin. Overall stratified by race/ethnicity, we cross-sectional longitudinal associations high-quality, three access outcomes: use preferred contraception, satisfaction method, experience no accessing contraception. find experiencing higher-quality, more methods. Among non-Hispanic white-identifying patients, similar shifting higher-quality but statistical outcomes or Person Color Highlighting dissonance clinical guidance quality patient especially identity lead differential outcomes, crucial step toward bringing into principles sexual reproductive health equity.

Language: Английский

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Predictors of Contraceptive Use Associated with Foreign-Born Women in the US During the Preconception Period of Their First Pregnancy

Journal of Immigrant and Minority Health, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 12, 2024

Language: Английский

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Intersection of Nativity and English Proficiency With Receipt of Person-Centered Contraceptive Counseling

Deleted Journal, Journal Year: 2024, Volume and Issue: 1(2), P. 013 - 013

Published: June 1, 2024

OBJECTIVE: To assess disparities in receipt of person-centered contraceptive counseling among a nationally representative sample U.S.- and foreign-born individuals with differing English proficiency. METHODS: We conducted secondary analysis the 2017–2019 wave National Survey Family Growth included female respondents aged 15–49 years who received contraception services previous 12 months provided responses to all four items Person-Centered Contraceptive Counseling measure. categorized into groups: 1) U.S.-born speak very well, 2) 3) less 4) well. created an adjusted logistic regression model, as outcome nativity–English proficiency groups primary independent variable, then calculated predicted probability receiving for each group, age, income, urban or rural status, parity covariates. also assessed individually. RESULTS: Our final study 2,221 (weighted N=26,531,058). Respondents spoke well had comparable probabilities reporting regardless nativity (52.2% [95% CI, 48.5–55.9%] 50.6% 38.2–62.9%] individuals). Among lower than (31.0% 13.5–48.5%] vs 40.6% 29.2–52.0%], respectively). The largest were related letting respondent say what mattered most them about their birth control taking preferences seriously. CONCLUSION: Person-centered was limited proficiency, particularly individuals; mitigated by nativity. Clinicians should prioritize care, especially patients

Language: Английский

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Latine Reproductive Health and Data Inequities Across the Life Course: A Call to Action

American Journal of Public Health, Journal Year: 2024, Volume and Issue: 114(S6), P. S457 - S462

Published: July 1, 2024

Language: Английский

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Experience of contraceptive care by midwives for nonpostpartum individuals in the Netherlands: a mixed methods study

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 2, 2024

Since 2015, Dutch midwives have been authorised to prescribe all contraception. Initially providing contraceptive care postpartum clients, they are increasingly offering it anyone. It remains unknown how this broader population experiences care. Therefore, mixed methods study aims explore of nonpostpartum individuals receiving from primary midwives. At 13 midwifery practices in the Netherlands, participants were recruited fill out a survey and participate an in-depth semi-structured interview, both based on Levesque's Conceptual Framework Access Health. Univariate multivariate logistic regression analyses applied data (n = 91) thematic analysis interview 10). Most (87.8%) received intrauterine device during their appointment. A majority (58.2%) rated 10 10. Giving full marks was significantly associated with higher perceived income (adjusted OR 3.19, 95% CI 1.21-8.81, p 0.021), adjusted for appointment type time since Participants reported understandable information, being taken seriously, having enough Interviews revealed that especially appreciate make them feel at ease, midwives' expertise, convenience access. To conclude, given positive by midwives, efforts should be made improve task sharing increase awareness as contraception providers. Future research compare across types providers include more representative population.

Language: Английский

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