Postpartum contraception: a missed opportunity to prevent unintended pregnancy and short inter-pregnancy intervals
Postpartum contraception: a missed opportunity to prevent unintended pregnancy and short inter-pregnancy intervals
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DOI：
10.1136/jfprhc-2014-101165
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发表时间：
2016-04-01
影响因子：
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通讯作者：
Glasier, Anna
中科院分区：
文献类型：
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作者：
Heller, Rebecca;Cameron, Sharon;Glasier, Anna
背景 产后妇女需要有效的避孕措施。分娩后不久的意外怀孕可能会导致流产或与不良后果相关的较短的妊娠间隔。我们利用为期 6 个月（2013 年 9 月至 2014 年 2 月）的数据库，研究了苏格兰爱丁堡在过去 12 个月内分娩过的堕胎妇女的比例，以及该地区怀孕间隔为 12 个月或更短时间后分娩的妇女的比例。我们还对同一产科服务机构出院前的 250 名妇女进行了避孕意愿调查。 结果 约 75/1175 名 (6.4%) 前来堕胎的妇女在之前 12 个月内分娩过，332/4713 (7.0%) 名产后妇女在怀孕间隔不超过 12 个月后分娩。当考虑已生育女性时，这一比例分别为 13.3% 和 13.9%。大多数（n = 237，96.7％）产后妇女不打算在一年内再次怀孕，但只有少数（n = 32，12.8％）计划使用长效可逆避孕（LARC），即埋植剂或宫内节育器。然而，42.8% (n=107) 表示，如果可以在出院前植入埋植剂或宫内节育器，那么他们会选择这些方法 (p
Background Women in the postpartum period need effective contraception. Unintended pregnancies soon after childbirth may lead to abortion or short inter-pregnancy intervals associated with adverse outcomes. Using databases for a 6-month period (September 2013-February 2014) we examined the proportion of women attending for abortion in Edinburgh, Scotland who had given birth in the preceding 12months, and the proportion of women giving birth in this region after an inter-pregnancy interval of 12months or less. We also surveyed 250 women prior to discharge from the same maternity service about their contraceptive intentions.Results Some 75/1175 (6.4%) attending for abortion had given birth within the preceding 12months and 332/4713 (7.0%) postpartum women gave birth following an inter-pregnancy interval of 12months or less. When considering parous women, percentages were 13.3% and 13.9%, respectively. The majority (n=237, 96.7%) of postpartum women were not planning another pregnancy within the year but only a minority (n=32, 12.8%) were planning on using long-acting reversible contraception (LARC), namely the implant or intrauterine device. However, 42.8% (n=107) indicated that if the implant or intrauterine contraception could be inserted before they left hospital then they would choose these methods (p