在COVID-19大流行期间,为青少年妇女提供概念间护理
Hana Smith1,2, Bethany Ashby3,4, Sarah Tillema5
1Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, USA. hana.smith@childrenscolorado.org.
在COVID-19大流行期间,通过儿科健康儿童访问提供的间接怀孕护理 (ICC) 确保了青少年妇女继续获得避孕措施,并减少了青少年妇女的重复怀孕.
科学领域:
- 生殖健康 生殖健康
- 儿科医学 儿科医学
- 公共卫生 公共卫生
背景情况:
- 妊娠间护理 (ICC) 旨在通过管理怀孕之间的风险来改善母亲和儿童的健康.
- 儿科医院可以通过遵守健康儿童访问 (WCVs) 来促进ICC.
- 随着COVID-19大流行,医疗保健的准入面临挑战,这可能会影响ICC服务.
研究的目的:
- 评估COVID-19大流行对长效可逆避孕 (LARC) 使用和接受ICC的青少年妇女重复怀孕率的影响.
- 在疫情期间评估基于儿科的ICC模型的有效性.
主要方法:
- 两组接受ICC的青少年妇女的比较:COVID前 (2018年9月至2019年10月) 和COVID (2020年3月至2021年3月).
- 对社会人口因素,年龄,教育,访问频率,避孕选择和重复怀孕的分析.
- 采用双向儿科医疗家庭模式来提供服务.
主要成果:
- 与COVID前队列相比,COVID队列中有更多的初婚妇女,更年轻的婴儿和更少的访问.
- 开始长效可逆避孕 (LARC) 的情况在各队伍之间是相似的.
- 在COVID队列中,重复怀孕的比率显著降低.
结论:
- 尽管与流行病相关的医疗保健接入限制,但与WCVs集成的ICC保持了获得护理的机会.
- 基于儿科的ICC模型在支持避孕使用和减少重复怀孕方面被证明是有效的.
- 这种方法突显了二元期儿科医疗院的适应性和有效性,用于概念间护理.
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