Within 6 to 8 weeks after birth, nearly half (49%, n = 27) of the participants had resumed sexual activity; however, almost all (95%, n = 52) did not desire another pregnancy in the upcoming 18 months.
In addition, 56% percent (n = 31) of participants usedhighly effective procedural or prescription contraceptives, including sterilization procedures, intrauterine devices (IUDs) and combined hormonal contraceptives. This compared to 44% (n = 24) who used nonprescription/no method.
Those who believed there was value in planning and preparing for pregnancies were significantly more likely to use procedure/prescription contraception than those who did not: adjusted odds ratio (aOR) = 1.52; 95% confidence interval (CI): 1.07 to 2.17.
“I was surprised, however, that only 17% of women with pregestational diabetes identified preconception glycemic control as part of how they planned for pregnancy,” Dr. Britton told Contemporary OB/GYN.
The study did not address breastfeeding goals, mental health or women’s preference for contraceptive features. Nonetheless, the results underscore how healthcare providers “can support women with diabetes to understand how family planning and preconception glycemic control can help them achieve their personal pregnancy goals,” said Dr. Britton, who believes it is vital “to center the voices of those most affected.”
She is currently conducting a qualitative study of women with T2DM to understand how they want preconception care integrated into diabetes management.
Dr. Britton reports no relevant financial disclosures.