Peri-abortion contraception: a qualitative study of users' experiences
Peri-abortion contraception: a qualitative study of users' experiences
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DOI：
10.1783/147118904322702018
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发表时间：
2004-01-01
影响因子：
--
通讯作者：
Massil, H
中科院分区：
文献类型：
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作者：
Kumar, U;Baraitser, P;Massil, H
背景。避孕咨询是人工流产服务的一个重要组成部分，但对其有效性仍然存在担忧。 目标。作为人工流产妇女经历研究的一部分，探讨了影响围产期避孕的问题。方法。对终止妊娠后 3-9 周的 21 名不同年龄、孕期和种族的妇女进行深入访谈，并对数据进行定性分析。结果。堕胎前后的避孕风险都很高。堕胎后，只有少数女性改用某种方法，或者转向更可靠的方法。卫生专业人员尚未足够清晰或详细地探讨有关避孕的问题，因此无法发挥作用。关于避孕的讨论常常被推迟到流产后随访时进行，在采访时只有 12 名受访者参加了随访。结论。围产期避孕咨询的效果令人失望。我们建议，堕胎服务提供者配备一名受过计划生育培训的外展护士，专门负责避孕，可以提高堕胎后的避孕率。
Background. Contraceptive counselling is an essential element of induced abortion services but concerns remain about its effectiveness.Objective. The issues that influence peri-abortion contraception were explored as part of a study on the experiences of women undergoing induced abortion.Method. In-depth interviews with 21 women of varying ages, gestations and ethnicity, 3-9 weeks after termination of their pregnancy, with qualitative analysis of data.Results. Contraceptive risk-taking was high both before and after abortion. After abortion, only a few women had changed either to using some method, or moving to more reliable methods. Health professionals had not explored the issues around contraception with sufficient clarity or detail to be effective. Discussion of contraception was often deferred to the post-abortion follow-up visit, which only 12 respondents had attended at the time of interview.Conclusions. The effectiveness of peri-abortion contraception counselling was disappointing. We suggest that a family planning-trained outreach nurse attached to abortion providers with specific responsibility for contraception could improve uptake post-abortion.