Perceptions and Behaviors Related to Contraceptive Use in the Postpartum Period Among Women With Pregestational Diabetes Mellitus.
Perceptions and Behaviors Related to Contraceptive Use in the Postpartum Period Among Women With Pregestational Diabetes Mellitus.
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DOI：
10.1016/j.jogn.2019.12.002
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发表时间：
2020-03
期刊：
影响因子：
--
通讯作者：
Bryant AG
中科院分区：
文献类型：
--
作者：
Britton LE;Berry DC;Crandell JL;Brooks JL;Bryant AG
描述与避孕和孕前护理相关的观念和行为，并测试这些观念与妊娠期糖尿病妇女产后避孕使用之间的关系。横断面、描述性调查。美国东南部的三家高危产科诊所。55名18岁及以上的妊娠期1型或2型糖尿病患者。在出生后4至8周，我们使用研究者开发的项目和心理测量学验证的量表来测量参与者对避孕和孕前护理的感知和行为。我们将产后避孕的使用分为程序/处方或非处方/无方法。我们使用多元逻辑回归测试了认知与避孕使用相关的假设。当出生后4到8周收集数据时，几乎一半（49%,n = 27）的参与者恢复了性活动；然而，大多数人（95%,n = 52）不希望在未来18个月内再次怀孕。56% （n = 31）的参与者使用程序/处方避孕，44% （n = 24）使用非处方/无方法避孕。那些认为使用避孕和孕前护理有益的人更有可能使用程序/处方避孕（调整优势比1.52,95%置信区间1.07 - 2.17）。在照顾产后妇女时，提供者应注意妇女对避孕和孕前护理的好处的看法可能会影响其使用是否符合其生殖目标并优化未来怀孕的结果。在患有妊娠期糖尿病的妇女中，当她们认为避孕是有益的时，她们更有可能在分娩后使用高效的避孕方法。
To describe perceptions and behaviors related to contraception and preconception care and to test the association between these perceptions and contraceptive use in the postpartum period among women with pregestational diabetes mellitus. Cross-sectional, descriptive survey. Three high-risk obstetric clinics in the Southeastern United States. Fifty-five women who were 18 years or older with pregestational type 1 or type 2 diabetes mellitus. Between 4 and 8 weeks after birth, we used investigator-developed items and psychometrically validated scales to measure participants’ perceptions and behaviors related to contraception and preconception care. We dichotomized use of contraception in the postpartum period as procedure/prescription or non-prescription/no method. We tested the hypothesis that perceptions are associated with contraceptive use using multiple logistic regression. When data were collected 4 to 8 weeks after birth, almost half (49%, n = 27) of the participants had resumed sexual activity; however, most (95%, n = 52) did not want another pregnancy in the next 18 months. Fifty-six percent (n = 31) of participants used procedure/prescription contraception, and 44% (n = 24) used non-prescription/no method. Those who perceived contraception use and preconception care to be beneficial were more likely to use procedure/prescription contraception (adjusted odds ratio 1.52, 95% confidence interval, 1.07 – 2.17). When caring for women in the postpartum period, providers should be mindful that women’s perceptions of the benefits of contraception and preconception care may have implications for whether their use aligns with their reproductive goals and optimizes outcomes for future pregnancies. Among women with pregestational diabetes mellitus, use of a highly effective contraceptive method following childbirth is more likely when they view contraception as beneficial.
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DOI：
10.2337/diaspect.29.1.37
发表时间：
2016-02
期刊：
Diabetes spectrum : a publication of the American Diabetes Association
影响因子：
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作者：
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