title: Pregnancy intention and contraceptive use at six months postpartum among women with recent preterm delivery.
abstract: OBJECTIVE
  To describe pregnancy intention and contraceptive use among women with a recent delivery that occurred at 35 weeks gestation or fewer and who were enrolled in a large-scale randomized control trial.
  
  
  METHODS
  In this descriptive study we used data from assessments conducted at 6 months postpartum as part of a randomized controlled clinical trial, the Philadelphia Collaborative Preterm Prevention Project (PCPPP).
  
  
  METHODS
  Participants were recruited following a preterm birth (PTB) in one of the 12 urban birth hospitals. All women enrolled in PCPPP, who completed their 6-month postpartum assessment, and who were sexually active at the time of that assessment (n = 566), were included in the analysis.
  
  
  METHODS
  Data were collected during face-to-face interviews. Study questionnaires included questions about participants' plans for the timing of subsequent pregnancies, contraceptive behaviors, and other health variables.
  
  
  RESULTS
  Nearly all of the participants (90.1%, n = 509) reported they did not want to get pregnant within one year of the index PTB. However, more than one half of these women (54.6%) reported contraceptive practices of low or moderate effectiveness. Most predictive of intending another pregnancy within the year was the death of the index PTB infant (odds ratio [OR]= 18.2,95% confidence interval [CI] [8.9, 37.0]).
  
  
  CONCLUSIONS
  Discordant pregnancy intention and contraceptive use were reported among this group of mothers of PTB infants who are at particularly high risk for a poor outcome of any subsequent pregnancy. The findings highlight the need for further investigation of the causes, correlates, and consequences of discordant pregnancy intentions and contraceptive practices.
authors: College of Nursing and Health Professions and School of Public Health, Drexel University, Philadelphia, PA 19102, USA. jrb68@drexel.edu
authors: Joan Rosen
authors: JR
authors: Bloch
authors: David A
authors: DA
authors: Webb
authors: Leny
authors: L
authors: Mathew
authors: Jennifer F
authors: JF
authors: Culhane
mesh_terms: D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior; D005193:Family Planning Services; D005260:Female; D006801:Humans; D033182:Intention; D016015:Logistic Models; D015999:Multivariate Analysis; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D014481:United States