The Reproductive Life Plan in Midwifery Counseling
Many women and men are at risk for sexual transmitted infections and unwanted pregnancies and have unrealistic family planning intentions and insufficient knowledge of health promoting lifestyle prior to conception. Without sufficient support from the health care system this can lead to negative consequences. The aim of our study was to investigate if the usage of the Reproductive Life Plan in midwifery counselling increases women's knowledge of reproduction and particularly knowledge of folic acid intake prior to pregnancy. Secondary aims were to evaluate the influence on women's family planning and to further explore how women experienced the Reproductive Life Plan-based counselling.
Behavioral: Reproductive Life Plan
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||The Reproductive Life Plan in Midwifery Counseling|
- Knowledge of reproduction [ Time Frame: 2 months after the intervention ] [ Designated as safety issue: No ]
Knowledge will be measured by knowledge of the following:
- the fecundity of an ovum
- how likely it is that a 25-year old women gets pregnant if she has unprotected intercourse at the time of ovulation
- at what age there is a marked decline in women's ability to become pregnant
- baby take home rate after IVF-treatment
- factors that can impair female fertility
- healthy lifestyle during pregnancy planning
- Family Planning Intentions [ Time Frame: 2 months after the intervention ] [ Designated as safety issue: No ]
Family planning intentions will be measured by the following questions:
- Do you want (more) children in your life?
- If yes, how many (more) children do you want?
- If yes, at which age would you like to have your first/next child?
- If yes, at which age you like to have your last child?
- Experience of the intervention [ Time Frame: 2 months after the intervention ] [ Designated as safety issue: No ]
Experience of the intervention is measure by
- The overall experience of the intervention (very positive - very negative)
- If the intervention made them think about reproduction in a different way
- If the intervention made them search for more information about reproduction
- The likelihood of approaching a midwife if they have more questions about reproduction
- If they considered that midwifes or other health care professionals routinely should discuss the Reproductive Life Plan with their patients
|Study Start Date:||March 2012|
|Study Completion Date:||August 2012|
|Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
Experimental: Intervention group
The intervention group answered a baseline questionnaire in the waiting room and received the intervention (Reproductive Life Plan) in addition to standard care.
Behavioral: Reproductive Life Plan
A structured discussion based on the Reproductive Life plan, including information about reproduction and a brochure with the same information.
No Intervention: Control group 1
The control group 1 answered a baseline questionnaire in the waiting room and received standard care.
No Intervention: Control group 2
The control group 2 received standard care.
|The Student Health Centre|
|Uppsala, Sweden, 753 10|
|Principal Investigator:||Jenny Stern||Uppsala University|
|Study Director:||Tanja Tydén, PhD||Uppsala University|
|Study Director:||Margareta Larsson, PhD||Uppsala University|