Unmet demand for highly effective postpartum contraception in Texas.
Unmet demand for highly effective postpartum contraception in Texas.
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DOI：
10.1016/j.contraception.2014.06.039
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发表时间：
2014-11
期刊：
影响因子：
2.9
通讯作者：
Grossman, Daniel
中科院分区：
文献类型：
--
作者：
Potter, Joseph E.;Hopkins, Kristine;Aiken, Abigail R. A.;Hubert, Celia;Stevenson, Amanda J.;White, Kari;Grossman, Daniel
我们的目的是评估妇女的避孕偏好和使用在分娩后的前6个月。产后期是妇女了解和获得有效避孕措施的一个关键机会，特别是因为50%的经产妇女意外怀孕发生在上一次分娩后2年内。我们对来自德克萨斯州奥斯汀和埃尔帕索三家医院的800名产后妇女进行了前瞻性队列研究。年龄在18-44岁之间，希望推迟生育至少24个月的女性有资格参加这项研究，并在分娩后以及产后3个月和6个月完成了访谈。参与者被问及他们目前使用的避孕方法以及他们在分娩后6个月更喜欢使用的方法。在产后6个月，13%的妇女使用宫内节育器或植入物，17%的妇女绝育或有一个做过输精管切除术的伴侣。24%的人使用激素方法，45%的人依赖于不太有效的方法，主要是避孕套和戒断。然而，44%的人表示他们更愿意使用绝育，34%的人更愿意使用LARC。这项研究表明，在产后6个月时，对LARC和永久性方法有相当大的偏好。然而，妇女对避孕方法的偏好与实际使用之间存在着明显的不一致，这表明对高效避孕方法的大量需求没有得到满足。
We aimed to assess women's contraceptive preferences and use in the first 6 months after delivery. The postpartum period represents a key opportunity for women to learn about and obtain effective contraception, especially since 50% of unintended pregnancies to parous women occur within 2 years of a previous birth. We conducted a prospective cohort study of 800 postpartum women recruited from three hospitals in Austin and El Paso, TX. Women aged 18–44 who wanted to delay childbearing for at least 24 months were eligible for the study and completed interviews following delivery and at 3 and 6 months postpartum. Participants were asked about the contraceptive method they were currently using and the method they would prefer to use at 6 months after delivery. At 6 months postpartum, 13% of women were using an IUD or implant, and 17% were sterilized or had a partner who had had a vasectomy. Twenty-four percent were using hormonal methods, and 45% relied on less effective methods, mainly condoms and withdrawal. Yet 44% reported that they would prefer to be using sterilization, and 34% would prefer to be using LARC. This study shows a considerable preference for LARC and permanent methods at six months postpartum. However, there is a marked discordance between women's method preference and actual use, indicating substantial unmet demand for highly effective methods of contraception.
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影响因子：
7.2
作者：
Peipert JF;Madden T;Allsworth JE;Secura GM
通讯作者：
Secura GM
影响因子：
2.9
作者：
Zite, N;Wuellner, S;Gilliam, M
通讯作者：
Gilliam, M
影响因子：
2.9
作者：
Finer, Lawrence B.;Zolna, Mia R.
通讯作者：
Zolna, Mia R.
DOI：
10.1056/nejmp1207920
发表时间：
2012-09-27
期刊：
The New England journal of medicine
影响因子：
--
作者：
White K;Grossman D;Hopkins K;Potter JE
通讯作者：
Potter JE
影响因子：
6.7
作者：
Finer, Lawrence B.;Jerman, Jenna;Kavanaugh, Megan L.
通讯作者：
Kavanaugh, Megan L.