Women's and healthcare professionals' views on immediate postnatal contraception provision: a literature review.

作者: Annette Thwaites , Anh B Tran , Sue Mann

DOI: 10.1136/BMJSRH-2018-200231

关键词: NursingService delivery frameworkLong-acting reversible contraceptionReceiptGrey literatureMEDLINEPsychologyService (business)CINAHLProject commissioning

摘要: Objectives Provision of immediate postnatal contraception, including long-acting reversible contraceptive (LARC) methods, is increasingly identified and endorsed as a key strategy for reducing unplanned rapid repeat pregnancies. This literature review aims to evaluatethe views women healthcare professionals regarding the receipt, initiation or delivery these services. Methods Databases (Embase, Medline, CINAHL, HMIC) were searched relevant English language studies, from January2003 December 2017. In addition, Evidence Search, Google Scholar Scopus (citation search) used identify further literature. Other websites accessed policies, guidance supplementary grey Results There clear on how deliver good-quality contraception women, but reality service in UK does not currently meet aspirations, implementation lacking. The available evidence provision focuses more clinical rather than patient-centred outcomes. Research women’s limited receptivity LARC counselling what influences their decision-making process at this time. highlights range systemic barriers implementation. Conclusions While are largely support provision, important challenges have been raised present need national sharing commissioning models, resources evaluation data. Provider attitudes training needs across multidisciplinary groups also be assessed addressed collaborative working motivated, skilled up-to-date network viewed successful

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