Are partners available for post-abortion contraceptive counseling? A pilot study in a Baltimore City clinic

Are partners available for post-abortion contraceptive counseling? A pilot study in a Baltimore City clinic
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DOI:
10.1016/j.contraception.2003.12.013
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发表时间:
2004-05-01
期刊:
影响因子:
2.9
通讯作者:
Huggins, G
Huggins, G
中科院分区:
医学3区
文献类型:
--
作者:
Beenhakker, B;Becker, S;Huggins, G

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在美国每年120万例堕胎中,大约有一半是重复堕胎。虽然大多数堕胎医生都会就避孕问题向女性提供咨询,但重复率高的一个原因可能是没有考虑到女性的社会背景,尤其是男性伴侣。为了评估是否有机会进行避孕干预,包括堕胎时的男性伴侣,我们在一家城市堕胎诊所进行了一项试点研究,以检查男性伴侣在接受堕胎的女性中的作用。在2001年5月至2002年8月期间,对109名在巴尔的摩市诊所接受堕胎的妇女进行了两份问卷调查。在手术当天,女性更有可能在抵达时(30%)或离开时(34%)由男性伴侣陪同,而不是由任何其他人陪同。大多数接受堕胎的妇女报告说,她们的伴侣在整个堕胎过程中发挥了积极的决策和支持作用。相当大比例的夫妇可以在堕胎后获得避孕咨询,这就为伴侣已经积极参与堕胎过程的妇女提供了堕胎后夫妇避孕咨询的理由。这样的干预可能有助于减少重复堕胎。(C) 2004爱思唯尔公司版权所有。
About half of the 1.2 million abortions each year in the United States are repeat abortions. While most abortion providers counsel women about contraception, one reason for the high repeat rate could be failure to take into account the social context of the women-in particular, the male partner. To assess whether there might be a window of opportunity for a contraceptive intervention that includes the male partner at the time of the abortion, we under-took a pilot study at an urban abortion clinic to examine the role of the male partner among women receiving abortions. Between May 2001 and August 2002, two questionnaires were administered to 109 women receiving abortions in a Baltimore City clinic. On the procedure day, women were more likely to be accompanied by a male partner upon arrival (30%) or when leaving (34%) than by any other individual. The majority of women receiving abortions reported that their partners played positive decision-making and support roles throughout the abortion process. A significant proportion of couples could be available for contraceptive counseling following an abortion, providing rationale for couples' post-abortion contraceptive counseling for women whose partners are already actively and positively involved in the abortion process. Such an intervention may help to reduce repeat abortions. (C) 2004 Elsevier Inc. All rights reserved.