围产期抑郁和产后避孕的关联是意图,选择和实际使用
Grace A Masters1, Clevanne Julce2, Smita Carroll3
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Contraception
|April 7, 2024
概括
患有持续抑郁症状的围产期个体更有可能使用比计划更低效的避孕措施. 医疗保健提供者应与经历围产期抑郁症的人讨论避孕措施.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 产科和妇科 产科和妇科
背景情况:
- 围产期抑郁症在怀孕期间和分娩后影响了许多人.
- 避孕决定对于产周期的生殖健康至关重要.
研究的目的:
- 评估抑郁症状与围产期个体的避孕决定之间的关联.
- 检查持续性抑郁如何影响避孕方法的选择和有效性.
主要方法:
- 来自"支持母亲计划" (PRISM) 研究的数据的二次分析.
- 包括191名个人 (18-45岁) 查阳性抑郁症 (EPDS分数≥10).
- 在产后1-7个月使用后勤回归评估避孕意图,方法选择和避孕药的使用.
主要成果:
- 76.4%的人打算使用分娩后的避孕措施; 53.4%的人更喜欢更高效率的方法.
- 产后5至7个月持续存在的抑郁症状与使用更高效的避孕方法显著减少有关 (aOR=0.28).
- 21.1%的持久性抑郁症状的参与者使用的避孕措施不如预期的有效.
结论:
- 患有持续抑郁症状的围产期个体更有可能使用比计划更低效的避孕措施.
- 围产期抑郁症和不理想的避孕方法使用之间存在关联.
- 与提供者讨论避孕计划至关重要,特别是对于患有围产期抑郁症的人来说.
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