The effect of contraceptive counselling in the pre and post-natal period on contraceptive use at three months after delivery among Italian and immigrant women.
BACKGROUND
Contraceptive counselling in the pre and post-natal period may be important for the use of postpartum contraception and prevention of induced abortion. This paper evaluates the use of postpartum contraceptives and the factors associated with it in a sample of Italian and immigrant women.


METHODS
Data are drawn from two population-based follow-up surveys conducted to evaluate the quality of maternal care in 25 Italian Local Health Units in 2008/9 and 2010/1. Descriptive analyses and logistic regression models for complex survey data were used.


RESULTS
The use of effective contraceptives in the postpartum period is similar between Italians and immigrants (65%). Fifty-nine percent of Italians and 63% of immigrants received contraceptive counselling by natal care services. Women who received counselling are more likely to use effective contraceptives (Italians OR = 2.55 95% CI 2.06 - 3.14; immigrants OR = 4.01 95% CI 2.40 - 6.70).


CONCLUSIONS
This study supports the notion that health professionals should take every opportunity during pregnancy, childbirth and puerperium to provide information and counselling to improve knowledge and awareness of contraception.
Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy. E-mail: laura.lauria@iss.it.
Laura
L
Lauria
Serena
S
Donati
Angela
A
Spinelli
Manila
M
Bonciani
Michele E
ME
Grandolfo
D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data*; D003376:Counseling / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007558:Italy; D010353:Patient Education as Topic; D049590:Postpartum Period