Efficacy of a Protocol for Avoiding Pregnancy during the Breast-Feeding Transition

2.50
Hdl Handle:
http://hdl.handle.net/10755/158911
Type:
Presentation
Title:
Efficacy of a Protocol for Avoiding Pregnancy during the Breast-Feeding Transition
Abstract:
Efficacy of a Protocol for Avoiding Pregnancy during the Breast-Feeding Transition
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Schneider, Mary, MSN
P.I. Institution Name:Marquette University
Title:College of Nursing
Contact Address:PO Box 1881, Milwaukee, WI, 53201-1881, USA
Contact Telephone:414-288-3854
Co-Authors:M.M. Schneider, R.J. Fehring, T. Roumonada, College of Nursing, Marquette University, Milwaukee, WI;
Purposes: The transition from amenorrhea to the commencement of ovulation and the first three menstrual cycles post-partum is a time in which women who use fertility awareness methods (FAM) often become pregnant without intending to. The purpose of this research was to test the efficacy of a breastfeeding protocol to avoid pregnancy that utilized an electronic hormonal fertility monitoring (EHFM) to create artificial menstrual cycles and to track fertility. Conceptual Base: The variability of the breastfeeding transition, fluctuations of follicular development during breastfeeding, and acceptability of tracking fertility. Outcomes: Unintended pregnancy rates and acceptability based on a 10 item measure with scores ranging from 10-70, with the higher score indicating more acceptability. Methods: Forty-eight women (mean age 30.62) who sought to avoid pregnancy while breastfeeding and who entered into a Web site that provided FAM instructions, an electronic charting system, a special breastfeeding protocol, and support from professional nurses. The protocol involved creating 21 day artificial menstrual cycles and monitoring urinary estrogen rises with the EHFM. The participants were assessed acceptability of the protocol at 1, 3, and 6 months. Correct use and total unintended pregnancy rates were determined by survival analysis. Unintended pregnancies were confirmed by an online pregnancy evaluation reviewed by two professional nurses. Results: The 12 month correct use unintended pregnancy rate was 0.0 per 100 couple users (Std. Error = 0.00) and the 12 month total unintended pregnancy rate was 0.06 per 100 couple users (Std. Error = 0.06). Mean acceptability scores of the protocol to avoid pregnancy were not statistically different at 1 (47.7), 3 (47.7), and 6 months of use (49.5). Conclusion: The Web based breastfeeding protocol was highly effective when used correctly. The nurse supported online system of providing FAM services to post-partum breastfeeding women was successful and acceptability increased with use.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEfficacy of a Protocol for Avoiding Pregnancy during the Breast-Feeding Transitionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158911-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Efficacy of a Protocol for Avoiding Pregnancy during the Breast-Feeding Transition</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schneider, Mary, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">PO Box 1881, Milwaukee, WI, 53201-1881, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-288-3854</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mary.schneider@mu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M.M. Schneider, R.J. Fehring, T. Roumonada, College of Nursing, Marquette University, Milwaukee, WI;</td></tr><tr><td colspan="2" class="item-abstract">Purposes: The transition from amenorrhea to the commencement of ovulation and the first three menstrual cycles post-partum is a time in which women who use fertility awareness methods (FAM) often become pregnant without intending to. The purpose of this research was to test the efficacy of a breastfeeding protocol to avoid pregnancy that utilized an electronic hormonal fertility monitoring (EHFM) to create artificial menstrual cycles and to track fertility. Conceptual Base: The variability of the breastfeeding transition, fluctuations of follicular development during breastfeeding, and acceptability of tracking fertility. Outcomes: Unintended pregnancy rates and acceptability based on a 10 item measure with scores ranging from 10-70, with the higher score indicating more acceptability. Methods: Forty-eight women (mean age 30.62) who sought to avoid pregnancy while breastfeeding and who entered into a Web site that provided FAM instructions, an electronic charting system, a special breastfeeding protocol, and support from professional nurses. The protocol involved creating 21 day artificial menstrual cycles and monitoring urinary estrogen rises with the EHFM. The participants were assessed acceptability of the protocol at 1, 3, and 6 months. Correct use and total unintended pregnancy rates were determined by survival analysis. Unintended pregnancies were confirmed by an online pregnancy evaluation reviewed by two professional nurses. Results: The 12 month correct use unintended pregnancy rate was 0.0 per 100 couple users (Std. Error = 0.00) and the 12 month total unintended pregnancy rate was 0.06 per 100 couple users (Std. Error = 0.06). Mean acceptability scores of the protocol to avoid pregnancy were not statistically different at 1 (47.7), 3 (47.7), and 6 months of use (49.5). Conclusion: The Web based breastfeeding protocol was highly effective when used correctly. The nurse supported online system of providing FAM services to post-partum breastfeeding women was successful and acceptability increased with use.</td></tr></table>en_GB
dc.date.available2011-10-26T21:31:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:31:03Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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