Postpartum contraception information and resources: what do migrant and refugee women in Australia want?

BACKGROUND

Although closely spaced and unintended pregnancies can occur among all women, women from migrant and refugee backgrounds may experience these at higher rates. Access to high-quality, culturally responsive information regarding fertility return and postpartum contraception is essential for supporting informed decision-making. However, limited research has examined the related information needs of migrant and refugee women.

METHODS

We undertook an exploratory qualitative study with 17 English-speaking postpartum migrant and refugee women to better understand their experiences of and preferences for receiving postpartum contraception information. As part of their interview, participants were shown two educational contraception videos. Reflexive thematic analysis was used to construct themes.

RESULTS

No participant currently wanted to be pregnant; however, most were using condoms or no contraception. Knowledge of postpartum fertility return and contraception options was limited. Although desired, antenatal and postpartum education on fertility return and contraception had been provided to few of the women. Participants found the videos to be informative, culturally appropriate and visually engaging. Content considered important related to cost, effectiveness, side effects, where and how to access, and what is involved. Viewing short videos, along with provision of additional fertility and contraception information, was seen as especially valuable during pregnancy to support postpartum planning.

CONCLUSIONS

Limited resources and inconsistent postpartum contraception discussions with maternity providers can hinder contraceptive choice and decision making for migrant and refugee women. Our study underscores the need for accessible, culturally responsive, plain English and in-language resources on fertility return and postpartum contraception, supported by routine discussions and timely access to contraception methods.