Postpartum contraception: needs vs. reality
Postpartum contraception: needs vs. reality
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DOI：
10.1016/j.contraception.2010.07.002
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发表时间：
2011-03-01
期刊：
影响因子：
2.9
通讯作者：
Gorby, Nicolle
中科院分区：
文献类型：
--
作者：
Glazer, Ariella B.;Wolf, Abigail;Gorby, Nicolle
背景：产后时间是解决患者避孕需求和提供教育的独特时间。有很少的数据表明，最好的方法来提供有关避孕的信息后deliver.Study设计：产后患者在城市大学医院被要求完成一份书面调查产后避孕。参与者被问及产前和产后提供的避孕咨询。参与者还被问及他们是否会选择在分娩后立即插入宫内避孕器（IUD）。参与者在分娩后4-6个月就持续避孕use.Results：一百七十五调查完成，77%（134）报告讨论避孕产前，87%（153），产后。30%的妇女报告在产前访视时讨论了宫内节育器的插入，31%的妇女报告在出院前在医院讨论了宫内节育器的插入。23%（39）的妇女会选择立即放置胎盘后宫内节育器（如果可用）。在分娩后4-6个月能够联系到的59名患者中，5%报告使用了宫内节育器。在随访时联系的参与者中，有22%（13）仍然希望使用IUD，其中62%会选择胎盘后放置（如果可用）。百分之二十九的妇女报告说，没有使用避孕方法和32%的报告使用的方法是不高度effective.Conclusions：产前检查和产后接触提供者创造一个机会，讨论计划生育和避孕，大多数患者报告接受咨询。然而，报告在产后4-6个月继续使用避孕药具的人数要少得多。开始放置胎盘后宫内节育器是可以接受的，并将增加产后6个月避孕药具的使用。(C)2011 Elsevier Inc. All rights reserved.
Background: The postpartum time is a unique time to address patient's contraceptive needs and provide education. There are little data to suggest the best approach to provide information about contraception after delivery.Study Design: Postpartum patients in an urban university hospital were asked to complete a written survey on postpartum contraception. Participants were asked about contraception counseling offered both antepartum and postpartum. Participants were also asked if they would have elected to have an intrauterine device (IUD) inserted immediately after delivery. Participants were contacted 4-6 months after delivery regarding ongoing contraceptive use.Results: One hundred seventy-five surveys were completed; 77% (134) reported discussing contraception antepartum, and 87% (153), postpartum. Thirty percent of women reported discussing IUD insertion at an antepartum visit and 31% reported discussing it in the hospital prior to discharge. Twenty-three percent (39) of women would have elected immediate post-placental IUD placement if available. Of the 59 patients who were able to be contacted 4-6 months after delivery, 5% reported using an IUD. Twenty-two percent (13) of the participants contacted at follow-up still desired an IUD, of which 62% would have elected postplacental placement, if available. Twenty-nine percent of women reported using no contraceptive method and 32% reported using a method which is not highly effective.Conclusions: Prenatal visits and postpartum contact with providers create an opportunity to discuss family planning and contraception and most patients report receiving counseling. However, significantly fewer reported continued contraceptive use at 4-6 months postpartum. Initiation of postplacental IUD placement would be acceptable and would increase contraceptive use at 6 months postpartum. (C) 2011 Elsevier Inc. All rights reserved.