在孕妇患有母性心脏病的怀孕中,避孕咨询和选择
Shirley J Shao1, Arianna G Cassidy2, Aryn Alanizi3
1School of Medicine, University of California San Francisco, CA, USA.
概括
在怀孕期间,患有孕产妇心脏病 (MCD) 的女性通常会获得优秀的避孕咨询. 需要进一步的研究,以改善这种高风险人群中以患者为中心的咨询和避孕措施的使用.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 计划生育 计划生育方式
背景情况:
- 在患有母性心脏病 (MCD) 的妇女中,意外怀孕增加了发病和死亡风险.
- 在这一群体中,在产后出院时,高度可靠的避孕措施的使用率很低.
- 对于患有MCD的女性,怀孕期间的避孕咨询是不太了解的.
研究的目的:
- 评估在怀孕期间为MCD患者提供避孕咨询的提供和质量.
主要方法:
- 一项调查被发送给了522名患有MCD的个人,他们在2008-2021年间分娩.
- 该调查包括来自计划生育的人际关系质量调查 (IQFP) 的问题.
- 对临床和人口统计细节进行了图表审查,包括心脏风险评分.
主要成果:
- 133人完成了调查; 67%的人与产科医生讨论避孕,36%与MFM,24%与心脏病专家讨论避孕.
- 具有高心脏风险分数的个体显示了与MFM专家进行更多避孕讨论的趋势.
- 65%的人在所有IQFP领域报告了优秀或良好的提供商沟通,重视自主性和彻底性.
结论:
- 大多数MCD患者在怀孕期间报告了出色的避孕咨询.
- 需要进一步的研究来确定障碍和促进者,以有效的,以患者为中心的避孕辅导和使用在这个人群中.
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