Comparative Effectiveness of Video-Based and Leaflet-Based Education on Perceptions and Decision-Making Regarding Postpartum Contraceptive Method Selection
Abstract
Postpartum contraceptive planning is an important component of maternal healthcare because timely contraceptive selection can prevent unintended and closely spaced pregnancies and support informed reproductive decision-making. However, the effectiveness of different educational media in improving the psychological determinants of postpartum contraceptive selection remains insufficiently established. This study aimed to compare the effectiveness of video-based and leaflet-based education in improving perceptions and decision-making regarding postpartum contraceptive method selection among third-trimester pregnant women. A quantitative quasi-experimental study with a pretest–posttest two-group design was conducted among 40 third-trimester pregnant women at the Sukomoro Community Health Center, Magetan, Indonesia. Participants were allocated equally to a video-based education group (n = 20) and a leaflet-based education group (n = 20). Perceptions and decision-making were assessed using a structured questionnaire based on the Health Belief Model. Data were analyzed using paired-samples t-tests, Wilcoxon signed-rank tests, independent-samples t-tests, and Mann–Whitney U tests according to data distribution. Both groups demonstrated significant improvements following the intervention (p < 0.001). Perception scores increased from 64.95 ± 3.44 to 84.00 ± 4.03 in the video group, compared with 65.40 ± 3.05 to 73.50 ± 2.01 in the leaflet group. The between-group posttest difference was 10.50 points (95% CI: 8.46–12.54; p < 0.001). Decision-making also improved significantly in the video group (Z = −4.038; p < 0.001), with a significant post-intervention difference between groups (U = 2.00; Z = −5.577; p < 0.001). Video-based education produced greater immediate improvements in maternal perceptions and decision-making than leaflet-based education. Video-based education may therefore serve as a useful component of antenatal counseling to strengthen informed postpartum contraceptive planning.
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References
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Authors
Copyright (c) 2026 Ashio Liana Yudha Wijaya, Dr. Nurlailis Saadah, S.Kp.,M.Kes, Sulikah, SST.,M.Kes, Prof. Dr Heru Santoso W.N., S.Kep.,Ns.,M.M.Kes
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