Effect of a Multimedia Educational Tool on Contraception Use 1 Year Postpartum

Abstract

Almost half of all pregnancies are unintended, and individuals with high-risk medical conditions are disproportionately affected. We previously published results from our randomized controlled trial, which showed an increase in the use of long-acting reversible contraceptives (LARC) at 12 weeks postpartum in a high-risk population after the use of a multimedia educational tool (MET group) compared with routine care (RC group). Here we report a planned analysis of the 1-year follow-up of that trial using electronic surveys of the trial participants. At 1 year postpartum, LARC use was similar between groups (30.3% vs 21.7%, relative risk [RR] 1.40, 95% CI 0.95–2.05), but overall contraceptive use was significantly higher in the MET group compared with the RC group (81.6% vs 70.7%; P=0.03, RR 1.15, 95% CI 1.02–1.31, number needed to treat 9). The use of a multimedia educational tool increased the overall use of contraception at 1 year postpartum in individuals with an antecedent high-risk pregnancy. FUNDING SOURCE: Supported in part by a research grant from Investigator-Initiated Studies program of Organon. The opinions expressed in this paper are those of the authors and do not necessarily represent Organon. CLINICAL TRIAL REGISTRAION: ClinicalTrials.gov, NCT04291040.