在COVID-19大流行早期,产后避孕使用率的变化
Emily Chin1, Katherine Leung1, Tiffany A Moore Simas2
1University of Massachusetts Chan Medical School, Worcester, MA, USA.
Women's health (London, England)
|June 19, 2023
概括
在COVID-19流行病的第一波期间,产后立即长效可逆避孕药的使用量显著增加. 然而,产后10周的整体避孕措施使用情况保持不变,突出了改善获得机会的机会.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,人们对生殖保健的准入受到限制,这影响了堕胎和绝育服务.
- 与COVID-19相关的意外怀孕和负面产科结果需要获得预防怀孕方法的关键机会.
研究的目的:
- 分析最初的COVID-19浪潮期间避孕使用的变化.
- 将2020年3月至5月的产后避孕率与马萨诸塞州主要医疗保健系统的2019年3月至5月进行比较.
主要方法:
- 对495名在UMass纪念医疗中心分娩的个人进行了回顾性队列审查.
- 在2019年和2020年之间,在分娩出院前和分娩后访问期间使用避孕措施的比较.
- 统计分析包括千平方,费舍尔的精确和学生的t测试,并对混因子进行多变量逻辑回归.
主要成果:
- 在出院前使用长效可逆避孕方法的比例从2019年的4%上升到2020年的13% (p=0.01).
- 门诊产后访问避孕方法没有显著变化 (p=0.06).
- 在分娩后10周的整体避孕措施使用在两个时期之间保持一致 (p=0.50).
结论:
- 在大流行的第一波期间,产后立即长效可逆避孕药的使用增加了.
- 总体而言,产后避孕措施的使用没有显著变化.
- 产后期提供了一个机会,以提高获得有效的避孕措施的机会.
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