在产前预约诊所使用经过验证的仪器来评估怀孕计划和孕前护理:一项回顾性队列研究
Kirsten I Black1,2, Edwina Dorney1, Jennifer A Hall3
1The University of Sydney, Sydney, NSW.
The Medical journal of Australia
|September 24, 2023
概括
10名女性中有7人报告使用伦敦计划外怀孕指标 (LMUP) 计划怀孕. 更高的平价与意外怀孕有关,突出显示出需要产后避孕措施. 更广泛的LMUP使用可以改善孕前健康.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 伦敦计划外怀孕测量 (LMUP) 是评估怀孕意图的有效工具.
- 了解与意外怀孕相关的因素对于生殖健康服务至关重要.
- 产前预约访问提供了一个评估怀孕计划和相关健康行为的机会.
研究的目的:
- 在产前预约访问期间评估LMUP的完成率.
- 确定与意外怀孕相关的社会人口因素.
- 评估报告为准备怀孕的健康行动的妇女比例.
主要方法:
- 追溯队列研究分析了参加公共产前护理预订咨询的妇女的LMUP数据.
- 在悉尼当地卫生区从2019年12月到2020年11月收集的数据.
- 统计分析包括计算比例和多变量逻辑回归以确定与计划怀孕的关联,调整为共变量.
主要成果:
- 4993名妇女中47.8%完成了LMUP,诊所之间有显著差异 (32.0%对96.3%).
- 总体而言,70.6%完成LMUP的女性表示有计划怀孕;59.1%报告没有预孕健康行动.
- 计划怀孕在老年人群中更有可能发生,并且随着平价的增加,可能性更小.
结论:
- 虽然大多数完成LMUP的女性报告计划怀孕,但很大一部分没有采取预备性健康措施.
- 较高的平价是意外怀孕的重要预测因素,强调了产后避孕的重要性.
- 解决LMUP实施障碍对于加强孕前健康监测和干预至关重要.
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