Family planning methods in the Republic of Moldova in relation to unintended pregnancy
| ISRCTN | ISRCTN10397992 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN10397992 |
| Secondary identifying numbers | 1 |
- Submission date
- 04/05/2020
- Registration date
- 11/05/2020
- Last edited
- 11/05/2020
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Pregnancy and Childbirth
Plain English summary of protocol
Background and study aims
Since the number of women using modern methods of contraception is suboptimal, unintended pregnancies remain a persistent problem in the Republic of Moldova. However, the number of abortions in the Republic of Moldova decreased from 14,511 in 2013 to 10,830 in 2018. There are no data in the Republic of Moldova that state how many pregnancies that finalise with delivery are planned and how many of them were unintended. The aim of the study is to assess the level of knowledge, use and uptake of using family planning methods in women evaluated in the postpartum period.
Who can participate?
Women over 18 years who gave birth within the last 24-72 hours
What does the study involve?
The study involves a conversation with the investigator based on a survey that includes 58 questions about the medical history of the patient, questions about their knowledge about family planning methods, contraceptive methods used up to the present pregnancy, how the pregnancy occurred (planned or not), reasons for not using a contraceptive method if they did not plan a pregnancy and the prospect of using modern contraceptives after giving birth in future, after discharge from hospital.
What are the possible benefits and risks of participating?
There were no harms or risks for the participants of the study. No information that could identify the subject is collected. No laboratory investigations are done. The medical chart with personal and private data is not used. All information is provided on a voluntary basis. As a general benefit the conversation with the participant during the survey process aims to improve their knowledge of family planning methods and also helps women think about the possibility of using family planning methods in future, if they did not do so before, it raises some questions about their awareness, maybe points out some gaps that they could work on in the future.
Where is the study run from?
Nicolae Testemițanu State University of Medicine and Pharmacy (Moldova)
When is the study starting and how long is it expected to run for?
February 2019 to December 2019
Who is funding the study?
Nicolae Testemițanu State University of Medicine and Pharmacy (Moldova)
Who is the main contact?
Dr Irina Sagaidac
irina.sagaidac@usmf.md
Contact information
Public
Department of Obstetrics and Gynecology
Nicolae Testemitanu State University of Medicine and Pharmacy
Chisinau
MD 2004
Moldova
| Phone | +373 (0)69672425 |
|---|---|
| maria.cemortan@usmf.md |
Scientific
Department of Obstetrics and Gynecology
Nicolae Testemitanu State University of Medicine and Pharmacy
Chisinau
MD 2004
Moldova
| Phone | +373 (0)69340259 |
|---|---|
| irina.sagaidac@usmf.md |
Study information
| Study design | Observational cross-sectional study |
|---|---|
| Primary study design | Observational |
| Secondary study design | Cross sectional study |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Contraception use among women in the Republic of Moldova planned vs unplanned pregnancies |
| Study objectives | This study aimed to assess the level of knowledge, use and uptake of using family planning methods in women evaluated in the postpartum period. |
| Ethics approval(s) | Approved 11/02/2019, Ethics Review Committee of Hospital no.1, Chisinau (Institutia Medico-Sanitara Publica, Spitalul Clinic Municipal Nr.1, MD 2001, mun. Chisinau str. Melestiu, 20, Moldova; +373 (0)270479; scm1@ms.md): ref: not applicable |
| Health condition(s) or problem(s) studied | Contraception methods |
| Intervention | Women in the postpartum period were evaluated. The cases were divided into two groups - group 1, in which the pregnancy was unplanned but was accepted psychologically and women gave birth, and group 2 which covered the women who consciously did not use contraception because they were planning a pregnancy. Women answered a list of 58 questions about the contraception methods they know and used before this pregnancy, whether the pregnancy was intended or not, and perspective on using modern contraception methods after the current birth. |
| Intervention type | Other |
| Primary outcome measure | 1. Number of planned and unplanned pregnancies 2. Contraception methods used Both assessed using a questionnaire at a single timepoint |
| Secondary outcome measures | 1. Knowledge about family planning methods 2. Attitudes to family planning methods 3. Perspective on using contraceptive methods postpartum 4. Perspective on an unwanted pregnancy in the future All assessed using a questionnaire at a single timepoint |
| Overall study start date | 01/02/2019 |
| Completion date | 31/12/2019 |
Eligibility
| Participant type(s) | Healthy volunteer |
|---|---|
| Age group | Adult |
| Sex | Female |
| Target number of participants | 600 |
| Total final enrolment | 600 |
| Key inclusion criteria | Women in the postpartum period of 24-72 hours, who gave informed consent |
| Key exclusion criteria | Cases where pregnancy occurred after a period of infertility |
| Date of first enrolment | 01/03/2019 |
| Date of final enrolment | 31/12/2019 |
Locations
Countries of recruitment
- Moldova
Study participating centre
Chisinau
MD2001
Moldova
Sponsor information
University/education
Bd. Stefan cel Mare si Sfant 165
Chisinau
MD 2004
Moldova
| Phone | +373 (0)22205701 |
|---|---|
| contact@usmf.md | |
| Website | http://usmf.md/en/ |
"ROR" |
https://ror.org/03xww6m08 |
Funders
Funder type
University/education
No information available
Results and Publications
| Intention to publish date | 01/09/2020 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | The results of the study are planned to be published in the BMC journal Reproductive Health. |
| IPD sharing plan | The datasets used and/or analyzed during the current study are available upon request from Maria Cemortan (maria.cemortan@usmf.md). Data files with fully anonymized data, both raw data and subscales for each measure along with some basic demographic data will be available from January 2021 for at least 5 years (indefinitely if it is possible to formally archive). Data will be made available to researchers who have ethical approval to conduct studies that are in line with the original aims of the study. Consent from participants has been given for this, and none of the data will be identifiable. |
Editorial Notes
11/05/2020: Trial's existence confirmed by Ethics Review Committee of Hospital no.1, Chisinau.
