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. 2014 Nov 27;2014(11):CD011298. doi: 10.1002/14651858.CD011298.pub2

Nacar 2003.

Methods Location and time frame: the Kayseri Maternal and Child Health Hospital, city of Kayseri, Turkey. Conducted from December 1999 to June 2000.
Design: Allocation likely to have been alternate. Questionnaire about eligibility criteria was administered to intervention and control groups on alternate days. Intervention provided immediately after the questionnaire.
Sample size calculation: 150 women in each group (300 total) to detect 20% increase of contraceptive prevalence (from 60% to 80%), accounting for possible loss to follow up.
Participants General with N: 260 women who delivered at Kayseri Hospital in December 1999
 Source: local hospital
 Inclusion criteria: living in the city of Kayseri; had telephone at home or could be contacted by telephone.
Exclusion criteria: not specified
Interventions Study focus: Effect of education on postpartum contraceptive use
Treatment: 20‐minute educational session on postpartum family planning, lactation‐contraception relationship, and contraceptive options during this period. Each woman given brochure on 'Postpartum Family Planning.'
Control: baseline questionnaire only
Outcomes Primary: Postpartum contraceptive use, reported as modern or traditional method. Modern (effective) included IUD, OCs, injectable contraceptives, implant (Norplant), tubal ligation, vasectomy, diaphragm and spermicides. Traditional (limited effectiveness) included withdrawal, calendar, and lactation methods.
Secondary: not applicable
Assessment times: follow up at 6 months.
Notes Article in Turkish; translation of table headings and study characteristics extracted.
Risk of bias
Bias Authors' judgement Support for judgement
Exposed cohort representativeness Unclear risk Women who gave birth at specific hospital and could be contacted by telephone.
Nonexposed cohort selection Low risk Same source as exposed cohort
Exposure ascertainment: method used Low risk Presumably study records; intervention was provided in hospital
Comparability of groups: design or analysis High risk Analysis not adjusted for potential confounders.
Prior contraceptive use reportedly differed between groups but not analysis not adjusted.
Outcome assessment: method used Unclear risk Questionnaire administered at clinic during return visit or in home; self‐reported outcome.
Grouping of methods as modern (effective) or traditional was inconsistent with WHO 2013 categories.
Follow‐up length Low risk 6 months
Follow‐up adequacy Low risk Losses to follow up by 6 months: 8.7% treatment 8.7% (137/150); control 18% (123/150);