Contraceptive method preferences and provision after termination of pregnancy: a population-based analysis of women obtaining care with the British Pregnancy Advisory Service.
Contraceptive method preferences and provision after termination of pregnancy: a population-based analysis of women obtaining care with the British Pregnancy Advisory Service.
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DOI：
10.1111/1471-0528.14413
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发表时间：
2017-04
期刊：
影响因子：
--
通讯作者：
Trussell J
中科院分区：
文献类型：
--
作者：
Aiken A;Lohr PA;Aiken CE;Forsyth T;Trussell J
审查寻求终止妊娠的妇女的避孕选择以及所选方法的提供情况。基于人口的研究。英国怀孕咨询服务（BPAS）在英格兰和威尔士的诊所。2011年1月1日至2014年12月31日期间，211 215名妇女在公共卫生和社会服务部接受了职业培训，获得了避孕咨询，并有资格免费获得避孕药具。我们检查了BPAS的电子记录，并评估了接受避孕咨询和选择避孕方法的妇女的比例，以及所选择的方法的分布，按提供者和TOP类型进行分析。我们计算了接受他们选择的方法和妇女选择的方法的比例，这些方法在受孕时没有使用任何方法。我们使用逻辑回归分析来检查与选择宫内避孕（IUC）或植入物相关的因素。TOP后避孕方法选择。TOP后收到所选方法。85%的妇女接受了避孕咨询，并选择从BPAS获得避孕方法，而不是从全科医生或避孕和性健康诊所获得。在那些想从BPAS接受避孕的人中，51%选择了IUC或植入物，19%选择了口服避孕药。91%从BPAS获得避孕药具的妇女使用了她们选择的方法。如果妇女从BPAS获得避孕措施，有手术TOP，是经产的，年轻的，白色的，或有一个或多个以前的TOP，更有可能选择IUC或植入。为以患者为中心的TOP护理制定的标准应强调需要提供全方位的避孕选择，并在TOP后提供。
To examine contraceptive choices among women seeking termination of pregnancy (TOP) and the provision of the chosen methods. Population-based study. British Pregnancy Advisory Service (BPAS) clinics in England and Wales. Between 1 January 2011 and 31 December 2014, 211 215 women had a TOP at BPAS, were offered contraceptive counselling, and were eligible to obtain contraception at no cost. We examined electronic records from BPAS and assessed the proportions of women who accepted contraceptive counselling and chose a contraceptive method, as well as the distributions of methods chosen, analysed by provider and by TOP type. We calculated the proportions receiving their chosen method and the methods chosen by women using no method at conception. We used logistic regression to examine the factors associated with choice of an intrauterine contraceptive (IUC) or implant. Post-TOP contraceptive method choice. Receipt of chosen method post-TOP. Eighty-five per cent of women accepted contraceptive counselling and chose to obtain a method from BPAS rather than from a GP or contraception and sexual health clinic post-TOP. Among those who wanted to receive contraception from BPAS, 51% chose an IUC or implant and 19% chose oral contraceptives. Ninety-one per cent of women who obtained contraception from BPAS received their chosen method. Women were more likely to choose an IUC or implant if they obtained contraception from BPAS, had a surgical TOP, were parous, young, white, or had one or more previous TOPs. The standards set for patient-centred TOP care should emphasise the need for a full range of contraceptive options to be offered and provided post-TOP.
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影响因子：
7.2
作者：
Peipert JF;Madden T;Allsworth JE;Secura GM
通讯作者：
Secura GM
影响因子：
11.4
作者：
Goldstone, Philip;Mehta, Yachna H.;Black, Kirsten I.
通讯作者：
Black, Kirsten I.
影响因子：
7.2
作者：
Potter, Joseph E.;Hubert, Celia;Grossman, Daniel
通讯作者：
Grossman, Daniel
影响因子：
2.9
作者：
Bexhell, Helen;Guthrie, Kate;Trussell, James
通讯作者：
Trussell, James
DOI：
10.3109/13625187.2011.637586
发表时间：
2012-02-01
影响因子：
1.7
作者：
Bitzer, Johannes;Gemzell-Danielsson, Kristina;Oddens, Bjorn J.
通讯作者：
Oddens, Bjorn J.