title: The Effect of Combined Antenatal and Postnatal Counselling on Postpartum Modern Contraceptive Use: Prospective Case-Control Study in Kocaeli, Turkey.
abstract: BACKGROUND
  The integration of family planning education into obstetric care has been suggested to increase postpartum contraception use. However, ideal time and type of counseling is controversial. There is no prospective study about combining prenatal and postnatal education on the postpartum modern contraceptive use (PPMC).
  
  
  OBJECTIVE
  This study was aimed to explore the effects of the addition of postpartum contraceptive counselling to antenatal education on PPMC.
  
  
  METHODS
  Family planning counselling was given to all participating patients throughout antenatal care (ANC) via brief communications. After delivery, the women were categorised into two age-matched groups with a 1:1 allocation ratio in the order of the birth date. No further intervention was performed for Group I (n: 98). Women in Group II (n: 102) received further contraceptive education at six weeks after hospital discharge. Six months after delivery, PPMC was compared between the two groups.
  
  
  RESULTS
  PPMC was similar between Group I and II (p>0.05). Previous contraceptive experiences, obstetric care service intensity and partner's support were the factors related to postnatal contraceptive use. Logistic regression analysis showed that PPMC was independent of confounding factors in each group.
  
  
  CONCLUSIONS
  The addition of postnatal counseling to antenatal one did not further increase PPMC. The results of this study suggested that family planning counseling should be provided antenatally.
authors.affiliation: Specialist, Obstetrics and Gynecology Clinic, Haydarpasa Numune Teaching Hospital , Istanbul, Turkey .
authors.forename: Fisun
authors.initials: F
authors.lastname: Vural
authors.affiliation: Professor, Department of Obstetrics and Gynecology, Kocaeli University Faculty of Medicine , Kocaeli, Turkey .
authors.forename: Birol
authors.initials: B
authors.lastname: Vural
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynecology, Kocaeli University Faculty of Medicine , Kocaeli, Turkey .
authors.forename: Yigit
authors.initials: Y
authors.lastname: Cakiroglu
keywords: Antenatal care; Contraceptive methods; Education; Family planning; Maternal