--- title: "family planning counseling services women chronic conditions | Sutter Health" description: "Providing family planning counseling services for women with chronic medical conditions in an inpatient setting: A randomized feasibility trial" url: "https://www.sutterhealth.org/research/publications/family-planning-counseling-services-women-chronic-conditions-1055312693" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. family planning counseling services women chronic conditions # Providing family planning counseling services for women with chronic medical conditions in an inpatient setting: A randomized feasibility trial _Contraception_ 2023-08-05 ## Abstract Objectives:This study aimed to evaluate the feasibility and effectiveness of providing bedside family planning services to women with chronic medical conditions in the inpatient setting. Study design:We initiated a parallel randomized controlled trial of patients listed as female aged 18 to 44 years who were admitted to the hospital from February 2018 to May 2021 with at least one chronic medical condition associated with lower rates of contraception usage and no documentation of contraception. Patients who confirmed they were not using contraception were enrolled and randomized to one of the three arms. They received bedside family planning counseling and an offer of contraception prior to discharge (oral contraceptive pills, etonogestrel implant, or medroxyprogesterone injection), received a flyer recommending they talk with their outpatient physician about contraception, or received standard care. The primary outcomes were contraception use at 3 months and 12 months after discharge. Results:Altogether 76 subjects were enrolled and randomized with 22 in the counseling arm and 27 each in the other arms. In the counseling arm, five (23%; 95% CI: 8.0%-45%) elected to receive contraception prior to discharge. Inferential statistics at follow-up were not able to be calculated due to high attrition. Conclusions:Providing counseling and offering immediate contraception initiation in the inpatient setting may be a feasible approach to improving contraception access for this population. Additional investigation into the acceptability, efficacy, and generalizability of this approach is warranted. Implications:Utilizing the inpatient setting may be a feasible approach for delivering contraception counseling to women with chronic medical conditions. This approach merits further study for effectiveness and acceptability. This study highlights the need for contraceptive counseling and initiation to become a standard part of hospital care for pregnancy-capable individuals. [PubMed abstract](https://doi.org/10.1016/j.contraception.2023.110133) ![Carol Parise, Ph.D.](https://www.sutterhealth.org/static/images/sutter-fallback-image-3-4.jpg) Carol Parise, Ph.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/carol-parise-phd-1049681206) ## Research topics - [Women's Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Women%27s+Health%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Correlates of sexual abuse and subsequent risk taking.](https://www.sutterhealth.org/research/publications/correlates-sexual-abuse-subsequent-risk-taking-1055312680) Brown NL, Wilson SR, Kao Y-M, Luna V, Kuo ES, Rodriguez C, Lavori PW. Hispan J Behav Sci. 25(3):331-351. 2003 Aug 01 - Publication ### [Condom use by women recently diagnosed with a sexually transmitted infection: effects of study methodology on the apparent influence of hormonal/surgical contraception.](https://www.sutterhealth.org/research/publications/condom-use-women-sexually-transmitted-infection-1055312666) Wilson SR, Brown NL, Chin V, Levin D, Kao YM, Hu P, Lavori P. Sex Transm Dis. 31(12):740-7. 2004 Dec 01 - Publication ### [Healthcare utilization by women in a comprehensive managed care population subsequent to diagnosis of a sexually transmitted disease.](https://www.sutterhealth.org/research/publications/womens-healthcare-use-in-managed-care-post-std-dx-1055312690) Wilson SR, Brown NL, Leyden WA, Manos MM, Chin V, Levin D, Braverman P, Shapiro S, Lavori PW. Sex Transm Dis. 29(11):678-88. 2002 Nov 01 - Publication ### [The interaction of stress and urgency urinary incontinence and its effect on quality of life.](https://www.sutterhealth.org/research/publications/stress-vs-urgency-ui-and-effect-on-qol-1055312598) Minassian VA, Sun H, Yan XS, Clarke DN, Stewart WF. Int Urogynecol J. 26(2):269-76. doi: 10.1007/s00192-014-2505-8. Epub 2014 Oct 3. 2015 Feb 01 - Publication ### [Mixed incontinence masked as stress induced urgency urinary incontinence.](https://www.sutterhealth.org/research/publications/mixed-incontinence-masked-as-stress-induced-urgency-ui-1055312723) Minassian VA, Yan XS, Pitcavage J, Stewart WF. J Urol. 196(4):1190-5. doi: 10.1016/j.juro.2016.04.084. Epub 2016 May 6. 2016 Oct 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/family-planning-counseling-services-women-chronic-conditions-1055312693#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"family planning counseling services women chronic conditions"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/family-planning-counseling-services-women-chronic-conditions-1055312693#medicalscholarlyarticle","name":"Providing family planning counseling services for women with chronic medical conditions in an inpatient setting: A randomized feasibility trial","headline":"family planning counseling services women chronic conditions","abstract":"Objectives:This study aimed to evaluate the feasibility and effectiveness of providing bedside family planning services to women with chronic medical conditions in the inpatient setting. Study design:We initiated a parallel randomized controlled trial of patients listed as female aged 18 to 44 years who were admitted to the hospital from February 2018 to May 2021 with at least one chronic medical condition associated with lower rates of contraception usage and no documentation of contraception. Patients who confirmed they were not using contraception were enrolled and randomized to one of the three arms. They received bedside family planning counseling and an offer of contraception prior to discharge (oral contraceptive pills, etonogestrel implant, or medroxyprogesterone injection), received a flyer recommending they talk with their outpatient physician about contraception, or received standard care. The primary outcomes were contraception use at 3 months and 12 months after discharge. Results:Altogether 76 subjects were enrolled and randomized with 22 in the counseling arm and 27 each in the other arms. In the counseling arm, five (23%; 95% CI: 8.0%-45%) elected to receive contraception prior to discharge. Inferential statistics at follow-up were not able to be calculated due to high attrition. Conclusions:Providing counseling and offering immediate contraception initiation in the inpatient setting may be a feasible approach to improving contraception access for this population. Additional investigation into the acceptability, efficacy, and generalizability of this approach is warranted. Implications:Utilizing the inpatient setting may be a feasible approach for delivering contraception counseling to women with chronic medical conditions. This approach merits further study for effectiveness and acceptability. 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