避孕咨询可以改善堕胎后的避孕选择吗? 一个多中心研究来评估患者的感知
Silvia von Wunster1, Paola Algeri1, Giovanna Scassellati2
1Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy.
Journal of gynecology obstetrics and human reproduction
|April 10, 2024
概括
避孕咨询改善了意大利寻求堕胎的妇女的方法选择. 长效可逆避孕药 (LARC) 的立即可用性和短效可逆避孕药 (SARC) 的处方在出院时是关键发现.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 妇科 妇科 妇科 妇科
背景情况:
- 在意大利,重复堕胎占24%,通常是由于不充分的避孕咨询或无效的方法.
- 这突显了评估当前的避孕辅导实践对妇女进行堕胎的关键需要.
研究的目的:
- 评估意大利寻求堕胎的妇女对避孕咨询的感知质量.
- 确定在堕胎或出院时选择的避孕方法 (LARC和SARC) 的立即可用性.
主要方法:
- 这是一项多中心的前性观察研究,涉及15家意大利医院的1074名女性.
- 匿名问卷评估了对避孕咨询的满意度以及长效可逆避孕药 (LARC) 和短效可逆避孕药 (SARC) 的可用性/处方.
主要成果:
- 82%的参与者报告说,他们收到了足够的避孕信息.
- 74%选择LARC的女性在手术期间插入了LARC; 73%的SARC使用者在出院前获得了处方.
- 避孕咨询显著减少了"没有或自然方法"的使用,并增加了SARCs和LARCs的吸收.
结论:
- 有效的避孕辅导可以为接受堕胎的妇女带来更好的方法选择.
- 在堕胎时增加LARCs的可用性和负担能力可以提高其吸收率.
- 确保在出院时提供SARC处方对于遵守至关重要.
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