A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests
A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests
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DOI：
10.1016/j.contraception.2007.09.011
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发表时间：
2008-01-01
期刊：
影响因子：
2.9
通讯作者：
Zite, Nikki B.
中科院分区：
文献类型：
--
作者：
Gilliam, Melissa;Davis, Shawna D.;Zite, Nikki B.
背景：这项纵向定性研究从低收入少数民族妇女的角度探讨了产后绝育的障碍。我们研究妇女的感情和态度，随着时间的推移取消或推迟procedure.Study设计：我们进行了结构化的，深入的基线访谈与34产后妇女未实现的绝育要求在大学医院设置。后续电话采访进行了6周和6个月postparty.Results：未实现的绝育请求的原因包括最后一分钟的疑虑，产妇的医疗并发症，缺乏有效的医疗补助同意书，害怕的程序和供应商的影响。关于绝育决策的自主感和获得间隔绝育或启动和/或成功使用可逆避孕的能力影响了随后对未满足请求的态度。绝育咨询应包括关于手术程序和相关风险的全面信息，以及备用避孕计划的制定，特别强调提高避孕自我效能和绝育决策的自主性。(c)2008年爱思唯尔公司All rights reserved.
Background: This longitudinal, qualitative study explores barriers to postpartum sterilization from the perspective of low-income minority women. We examine women's feelings and attitudes regarding a canceled or postponed procedure over time.Study Design: We conducted structured, in-depth baseline interviews with 34 postpartum women with unfulfilled sterilization requests in a university hospital setting. Follow-up phone interviews were conducted at 6 weeks and 6 months postpartum.Results: Reasons for unfulfilled sterilization requests included last-minute misgivings, maternal medical complications, lack of a valid Medicaid consent form, fear of the procedure and provider influence. Sense of autonomy regarding sterilization decision making and ability to obtain interval sterilization or initiate and/or successfully use reversible contraception influenced subsequent attitudes regarding an unfulfilled request.Conclusions: Sterilization counseling should include comprehensive information regarding the surgical procedure and associated risks and the development of a backup contraceptive plan, with particular emphasis on increasing contraceptive self-efficacy and autonomy in sterilization decision making. (c) 2008 Elsevier Inc. All rights reserved.