Success with oral contraceptives: a pilot study
Success with oral contraceptives: a pilot study
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DOI：
10.1016/j.contraception.2003.12.006
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发表时间：
2004-05-01
期刊：
影响因子：
2.9
通讯作者：
McCarthy, M
中科院分区：
文献类型：
--
作者：
Gilliam, M;Knight, S;McCarthy, M
这项试点研究的目的是检查产后教育干预的有效性，旨在提高口服避孕药（OC）的依从性和减少重复怀孕的年轻，非洲裔美国妇女在一年后的计划外怀孕。在这项纵向研究中，43名参加西北医院普伦蒂斯门诊护理的年轻孕妇被纳入研究，其中33名被随机分配接受产前多因素干预，包括咨询、关于OC的录像带和书面材料或住院医师咨询（常规护理）。在入组时、干预后即刻、6周、6个月和12个月时收集问卷数据。1年后，25名女性仍留在研究中。与对照组相比，干预组中更多的妇女没有怀孕，仍然使用避孕措施，并且能够成功地转换避孕方法。与对照组相比，干预组在1年时的重复妊娠没有减少。我们的干预导致在整个研究期间，业主立案法团的知识持续增加。然而，需要更多的措施来促进产后避孕依从性，减少年轻，低收入非裔美国人意外怀孕的重复怀孕。(C)2004年爱思唯尔公司All rights reserved.
The objective of this pilot study was to examine the effectiveness of a postpartum educational intervention aimed at increasing compliance with oral contraception (OCs) and decreasing repeat pregnancies in young, African American women in the year following an unplanned pregnancy. In this longitudinal study, 43 young, pregnant women attending Prentice Ambulatory Care, Northwestern Hospital, were enrolled and 33 were randomized to receive an antepartum, multicomponent intervention consisting of counseling, a videotape about OCs and written material or resident-physician counseling (usual care). Questionnaire data were collected at enrollment, immediately following the intervention, at 6 weeks, 6 months and 12 months. At 1 year, 25 women remained in the study. More women in the intervention group were not pregnant and still using contraception, and were able to successfully switch contraceptive methods compared to women in the control group. There was no decrease in repeat pregnancy in the intervention group at 1 year compared to the control group. Our intervention resulted in a sustained increase in knowledge of OCs throughout the study period. However, more is needed to promote postpartum contraceptive compliance and decrease repeat pregnancies in young, low-income African Americans with unintended pregnancies. (C) 2004 Elsevier Inc. All rights reserved.