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Family planning intentions and satisfaction with contraceptive care: A qualitative exploration of postpartum Latina women in North Carolina

Matt Zerden, The University of North Carolina at Chapel Hill, 2011
See also executive summary.

Project abstract

North Carolina is undergoing a rapid expansion of its Latino population, a group that has twice the rate of unintended pregnancy compared with the Caucasian population. While it is well established that there are access barriers to effective forms of contraception for the Latino population, there are many gaps in the literature which fail to explain why or how Latinas make critical family planning decisions such as selection of birth control method, length of interpregnancy interval, and ultimate family size.

Providers, who are rarely from a Latino background, use standard family planning counseling and consensus guidelines to direct these women towards effective contraceptive methods, but it is not known how this counseling is received. This cultural chasm may partly explain family planning outcome disparities.

In order to clarify what is known about family planning intentions, contraceptive influence of the social network (i.e. friends and family), and the satisfaction with contraceptive counseling, we are undertaking a formative investigation of postpartum Latina women. Given that participants are likely to be highly motivated to avoid an unintended pregnancy at this juncture of family transition, we intend to explore the factors that contribute to the selection of a form of postpartum contraception, with a focus on long acting reversible contraception (LARC).

The analysis and interpretation of this data will allow providers in the area to better serve this at-risk community and meet their contraceptive needs in an effort to improve disparities in family planning outcomes.


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