Unplanned pregnancy and contraceptive use in Hull and East Yorkshire
Unplanned pregnancy and contraceptive use in Hull and East Yorkshire
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DOI：
10.1016/j.contraception.2015.10.004
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发表时间：
2016-03-01
期刊：
影响因子：
2.9
通讯作者：
Trussell, James
中科院分区：
文献类型：
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作者：
Bexhell, Helen;Guthrie, Kate;Trussell, James
目的：本研究有两个目的。第一个是评估去产前诊所 (ANC) 和接受人工流产 (IA) 的妇女中意外怀孕的比例。第二个是评估她们以前的避孕药具使用情况和避孕意向，特别关注赫尔和东赖丁的任何长效可逆避孕药的使用或考虑，以便为服务重新设计提供信息。 研究设计：连续参加第一次 ANC 预约的妇女和参加妇科诊所接受 IA 的妇女被要求填写一份两页的调查问卷，其中包含经过验证的怀孕意向调查问卷 [伦敦意外怀孕衡量标准(LMUP)] 以及确定在此指数怀孕之前使用和获取避孕药具的问题。结果：总体缓解率为 69%。我们收到了 648 份针对接受 IA 的女性的可评估问卷。在这些怀孕中，75.8% [95% 置信区间 (CI)，72.3%-79.0%] 是计划外的（LMUP，评分 0-3）。我们收到了 1001 份来自 ANC 预约女性的可评估问卷。在这些怀孕中，5.5%（95% CI，4.2%-7.0%）是计划外怀孕。在未采取避孕措施的意外怀孕者中，31% 的人表示无法获得他们想要的方法。在出现意外怀孕之前立即使用某种方法的人中，33% 的人表示这不是他们想要的方法；其中，75% 的人更喜欢绝育、埋植避孕、注射避孕或宫内避孕。结论：在这一人群中，计划外怀孕在接受 IA 的女性中很常见，但在接受 ANC 的女性中并不常见。大约三分之一未采取避孕措施的女性表示她们无法获得她们想要的方法，大约三分之一采取避孕措施的女性表示她们没有使用她们想要的方法。 (C) 2016 Elsevier Inc. 保留所有权利。
Objective: This study has two aims. The first is to assess the proportion of unplanned pregnancies among women attending antenatal clinics (ANCs) and those undergoing induced abortion (IA). The second is to assess both their previous contraceptive use and contraceptive intention, with particular focus on the use or consideration of any long-acting reversible contraceptives in Hull and East Riding in order to inform service redesign.Study design: Consecutive women attending their first ANC appointment and women attending a gynecology clinic undergoing IA were asked to complete a two-page questionnaire that contained a validated pregnancy intendedness questionnaire [the London Measure of Unplanned Pregnancy (LMUP)] and questions to establish contraceptive use and access prior to this index pregnancy.Results: The overall response rate was 69%. We received 648 evaluable questionnaires for women undergoing IA. Of these pregnancies, 75.8% [95% confidence interval (CI), 72.3%-79.0%] were unplanned (LMUP, score 0-3). We received 1001 evaluable questionnaires from women booking at ANCs. Of these pregnancies, 5.5% (95% CI, 4.2%-7.0%) were unplanned. Among those with unplanned pregnancies who were not using contraception, 31% reported that they were unable to obtain the method they wanted. Among those using a method immediately prior to the index unplanned pregnancy, 33% stated that it was not the method they wanted; of these, 75% would have preferred sterilization, the implant, injectable or intrauterine contraceptive.Conclusion: Unplanned pregnancies in this population are common among women undergoing IA but are uncommon among women attending an ANC. About a third of women not using contraception reported that they were unable to obtain the method they wanted, and about a third of women using contraception stated that they were not using the method they would have preferred. (C) 2016 Elsevier Inc. All rights reserved.