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\begin{document}

\title{Postnatal contraception use among physician mothers in the United
Kingdom: a cross-sectional study}



\author[1]{Eleanor Richards}%
\author[2]{Annette Thwaites}%
\author[2]{Jennifer Hall}%
\affil[1]{University of Cambridge Department of Obstetrics and Gynaecology}%
\affil[2]{University College London Elizabeth Garrett Anderson Institute for Women's Health}%


\vspace{-1em}



  
  \date{May 27, 2024}


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\selectlanguage{english}
\begin{abstract}
Objective: To investigate postnatal contraception use amongst physician
women, who would be expected to be health-literate and therefore a
possible ``best case'' scenario of postnatal contraception behaviours.
Design: Secondary analysis of cross-sectional survey data Setting:
United Kingdom Population or Sample: Registered physicians in the United
Kingdom less than two years postpartum, aged 30-55 years old, who
reported spontaneous conception. Methods: Secondary analysis of online,
anonymous, survey data collected April - June 2021. Chi-squared or
Fisher's exact tests were used to compare efficacy of postnatal
contraception by socio-demographics and experience of contraception
counselling. A Sankey plot presents timing of initiation and type of
postnatal contraception used. Main Outcome Measures: Postnatal
contraception use; time postpartum at which contraception initiated;
contraception efficacy. Results: Among the 146 women who had had sex
postpartum, only 11.6\% used a very effective method (LARC/
sterilisation) as first contraception, and 16.4\% had had sex without
appropriate postnatal contraception. Postnatal contraception-efficacy
was associated with timing of initiation (p\textless{}0.001); 92.3\% of
women initiating contraception up to 3 weeks postpartum used effective
or very effective methods. Contraception counselling at the place of
birth was associated with initiation of effective or very effective
postnatal contraception (p=0.041). Conclusions: Uptake of effective or
very effective postnatal contraception in the first 6 months postpartum
was low, despite a highly health-literate population. However, the
significantly high proportion of women choosing these options less than
3 weeks postpartum indicates their acceptability where services are
available.%
\end{abstract}%



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\textbf{Hosted file}

\verb`BJOG Richards Postnatal contraception use in UK physician mothers.docx`  available at \url{https://authorea.com/users/695648/articles/684236-postnatal-contraception-use-among-physician-mothers-in-the-united-kingdom-a-cross-sectional-study}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Figure-1-Contraception-efficacy-BJOG-Richards-Postnatal-contraception-use-in-UK-physician-mothers/Figure-1-Contraception-efficacy-BJOG-Richards-Postnatal-contraception-use-in-UK-physician-mothers}

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\end{figure}\selectlanguage{english}
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\includegraphics[width=0.70\columnwidth]{figures/Figure-2-Sankey-plot-BJOG-Richards/Figure-2-Sankey-plot-BJOG-Richards}

\end{center}
\end{figure}

\textbf{Hosted file}

\verb`Table 1  BJOG Richards Postnatal contraception use in UK physician mothers.docx`  available at \url{https://authorea.com/users/695648/articles/684236-postnatal-contraception-use-among-physician-mothers-in-the-united-kingdom-a-cross-sectional-study}

\textbf{Hosted file}

\verb`Table 2  BJOG Richards Postnatal contraception use in UK physician mothers.docx`  available at \url{https://authorea.com/users/695648/articles/684236-postnatal-contraception-use-among-physician-mothers-in-the-united-kingdom-a-cross-sectional-study}

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