Use of an Educational Multimedia Tool Versus Routine Care for the Uptake of Postpartum LARC in High-Risk Pregnancies

  • STATUS
    Recruiting
  • participants needed
    380
  • sponsor
    The University of Texas Health Science Center, Houston
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Updated on 19 February 2024
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high risk pregnancy

Summary

The purpose of the study is to evaluate if the implementation of a multimedia based educational tool and regular reminders with shared decision-making will increase the rate of LARC uptake and retention in high risk pregnancy patients within 12 weeks of delivery and to study the rates of retention of LARC at 12 and 24 months and short-interval pregnancy rates.

Description

This study will include 380 women aged 18-50 enrolled between 28 weeks gestation and postpartum day #1 who have a pregnancy that is considered high-risk. After consent, participants will be randomized to either routine care or multimedia based intervention. The intervention will include an investigator created decision aid presented at the time of randomization and reminder texts until 12 weeks postpartum.

The primary objective is to evaluate the rate of LARC uptake and retention within 12 weeks of delivery. Secondary objectives include i) the retention of LARC at 12 and 24 months and ii) short-interval pregnancy rates.

Details
Condition Contraception, Contraception, High risk pregnancy
Age 18years - 50years
Treatment Routine Care, Decision Aid
Clinical Study IdentifierNCT04291040
SponsorThe University of Texas Health Science Center, Houston
Last Modified on19 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Aged 18-50 years old
High risk pregnancy due to either maternal medical conditions or obstetric/neonatal complications

Exclusion Criteria

Planned cesarean hysterectomy
Unable to provide informed consent in either English or Spanish
Unable to provide reliable cell phone access for the study duration
Not willing to provide follow-up for two years
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