在没有接受产后永久避孕药后使用长期作用的可逆避孕药:回顾性分析
Jill M Hagey1, Ambika V Viswanathan2, Brooke W Bullington3
1Division of Women's Community and Population Health, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina, USA.
Journal of women's health (2002)
|October 22, 2024
概括
10%的患者没有接受分娩后立即永久避孕药 (PC),而是选择长效可逆避孕药 (LARC). 使用LARC的人很少转向PC,这凸显了在出院前需要满足PC请求的必要性.
科学领域:
- 生殖健康 生殖健康
- 避孕研究研究 避孕研究
- 产后护理 产后护理
背景情况:
- 许多希望在产后使用永久避孕 (PC) 的患者没有得到它.
- 在未得到满足的PC请求后了解避孕选择对于有效的计划生育至关重要.
研究的目的:
- 为了比较长效可逆避孕药 (LARC) 与永久避孕药 (PC),在产后使用产后避孕药的要求未得到满足后,使用产后避孕药.
- 分析避孕的满足和患者的特征.
主要方法:
- 在四个地点进行回顾性队列研究 (2018-2019) 的二次分析.
- 从医疗记录中抽取的数据,包括人口统计数据,避孕计划,满足,不满足的原因和产后怀孕发生率.
主要成果:
- 在需要PC的3013名患者中,58.4%在出院时接受了PC,4.5%接受了LARC.
- 在产后的一年内,另外217人获得了PC,176人获得了LARC.
- 与接受PC治疗的患者相比,接受住院LARC的患者更有可能是年轻的,未婚的,有医疗补助,并且经历过阴道分娩.
结论:
- 10%的产后PC请求未得到满足的患者在产后一年内使用LARC方法.
- 选择LARC产后治疗的患者不太可能随后接受PC.
- 医疗机构应优先考虑在医院出院前满足产后PC请求.
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