TY - JOUR
T1 - Barriers to post-placental intrauterine device receipt among expectant minority women
AU - Furman, Lydia
AU - Pettit, Shannon
AU - Balthazar, Monique S.
AU - Williams, Khalilah
AU - O’Riordan, Mary Ann
N1 - Funding Information:
This work was supported by an American Academy of Pediatrics Community Access to Child Health Planning Grant [AAP CATCH grant] to Dr. Furman. Thank you to the Community Researchers who recruited and enrolled participants: Brikelle Hart PCA (Care Alliance Health Center), Charlesretta Wynn CHW (WIC), Verna Darby (Birthing Beautiful), and to the colleagues at each of our Community Partners: Barbara Riley, Susan Conover and Mistie Winkfield-Hughes (the Cuyahoga County WIC Program), Sarah Sweeney MD (Care Alliance Health Center) and Kristin Farmer (Birthing Beautiful Communities), and to each of the women who participated in the study.
Publisher Copyright:
© 2020 The European Society of Contraception and Reproductive Health.
PY - 2021
Y1 - 2021
N2 - Purpose: We aimed to identify barriers to breastfeeding-compatible post-placental intrauterine devices (IUDs) for expectant predominantly non-Hispanic African-American women. Materials and methods: This cross-sectional survey study, conducted at 3 Cleveland community partner locations, enrolled 119 expectant predominantly unmarried but partnered non-Hispanic African-American women. The survey assessed contraceptive, IUD-specific and breastfeeding attitudes and intentions. Survey responses were described with percentages and frequencies, and compared by feeding intention using 2-sided Chi-Square tests. Factor analysis with Varimax rotation identified 2 potential measures of reluctance to post-placental IUD acceptance. The relationship of factors scores to maternal characteristics was assessed. Results: Feeding intention (breastfeeding versus not) was not related to perceived barriers to post-placental IUD receipt among expectant minority women. A “Personal Risks Reluctance” factor included low risk IUD events (migration and expulsion), misconceptions (delayed fertility return), menstrual changes and partner preference: a higher score was significantly associated with younger age group but no other maternal characteristics. A “Not Me Reasons” factor included provider and insurance barriers, and was not related to any maternal characteristics. Conclusions: Expectant minority women’s perceived barriers to post-placental IUDs are not related to prenatal feeding intentions. We identified two clinically relevant factors that appear to measure barriers to post-placental IUD acceptance.
AB - Purpose: We aimed to identify barriers to breastfeeding-compatible post-placental intrauterine devices (IUDs) for expectant predominantly non-Hispanic African-American women. Materials and methods: This cross-sectional survey study, conducted at 3 Cleveland community partner locations, enrolled 119 expectant predominantly unmarried but partnered non-Hispanic African-American women. The survey assessed contraceptive, IUD-specific and breastfeeding attitudes and intentions. Survey responses were described with percentages and frequencies, and compared by feeding intention using 2-sided Chi-Square tests. Factor analysis with Varimax rotation identified 2 potential measures of reluctance to post-placental IUD acceptance. The relationship of factors scores to maternal characteristics was assessed. Results: Feeding intention (breastfeeding versus not) was not related to perceived barriers to post-placental IUD receipt among expectant minority women. A “Personal Risks Reluctance” factor included low risk IUD events (migration and expulsion), misconceptions (delayed fertility return), menstrual changes and partner preference: a higher score was significantly associated with younger age group but no other maternal characteristics. A “Not Me Reasons” factor included provider and insurance barriers, and was not related to any maternal characteristics. Conclusions: Expectant minority women’s perceived barriers to post-placental IUDs are not related to prenatal feeding intentions. We identified two clinically relevant factors that appear to measure barriers to post-placental IUD acceptance.
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U2 - 10.1080/13625187.2020.1852398
DO - 10.1080/13625187.2020.1852398
M3 - Article
C2 - 33295807
AN - SCOPUS:85097441633
SN - 1362-5187
VL - 26
SP - 91
EP - 97
JO - European Journal of Contraception and Reproductive Health Care
JF - European Journal of Contraception and Reproductive Health Care
IS - 2
ER -