国家产后常规避孕实践和感知障碍
Ellen Murphy1, Andrea Pelletier, Kathryn Fay
1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, and Harvard Medical School, Boston Massachusetts.
Obstetrics and gynecology
|April 16, 2024
概括
许多美国医院在阴道分娩后难以满足产后永久避孕措施. 通过运营变化和解决文化障碍来改善准入,可能会增加履行率.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 以前的研究表明,在阴道分娩后,产后永久避孕措施的实现率较低.
- 多布斯诉杰克逊妇女健康组织的决定影响了获得生殖保健的机会.
- 关于产后永久避孕措施的国家数据有限.
研究的目的:
- 评估在阴道分娩后实现产后永久避孕的全国范围.
- 鉴定多布斯决定后的实践障碍和实践变化.
- 探索改善履行率的策略.
主要方法:
- 在109个美国学术医疗中心向教师分发的横截面调查.
- 收集关于分娩后永久避孕方法,障碍和机构文化的感知数据.
- 分析了68个机构的回答.
主要成果:
- 95.6%的受访机构提供产后永久避孕.
- 87.3%的受访者认为满足率是一个问题.
- 履行率较低的机构更有可能使用主要的手术室,并报告机构文化障碍.
结论:
- 在阴道分娩后,产后永久避孕措施的实现存在重大国家问题.
- 医疗保健文化和劳动和分娩手术室的利用是潜在的改进领域.
- 解决已识别的障碍可能会提高避孕完成率.
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