伴随性疾病与住院患者之间的关联产后永久避孕完成
Mary D Carmody1, Abby L Schultz, Kristen A Berg
1Department of Epidemiology, Gillings School of Global Public Health, the Carolina Population Center, and the Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; the Center for Health Care Research & Policy, Population Health Research Institute, and the Department of Obstetrics and Gynecology, MetroHealth Medical System, and Case Western Reserve University, Cleveland, Ohio; the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, Rhode Island; the Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama; and the Department of Obstetrics and Gynecology, University of California, San Francisco, San Francisco, California.
在这项研究中,并发症没有显著影响住院患者通过输卵管手术完成产后永久避孕. 解决可修改的障碍仍然是希望获得避孕的关键.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 外科手术的结果
背景情况:
- 通过输卵管手术进行产后永久避孕是一种理想的计划生育方法.
- 了解影响完成率的因素,如并发症,对于患者护理至关重要.
- 伴随性疾病包括先前存在的疾病和产周并发症.
研究的目的:
- 通过输卵管外科手术调查伴随疾病与住院患者完成产后永久避孕的相关性.
- 确定医疗状况或产后并发症是否会影响获得产后永久避孕的可能性.
主要方法:
- 一个多站点回顾性队列研究的二次分析.
- 包括那些有记录永久避孕计划的患者.
- 利用后勤回归来分析并发症和输卵管手术完成之间的关联.
主要成果:
- 53.4%的患者通过出院完成了产后永久避孕措施;70.8%患有并发症.
- 在对多次比较进行调整后,在综合并发症 (医疗状况或产周并发症) 和避孕完成之间没有发现统计学意义上的关联.
- 个人并发症,如高血压,精神健康诊断和高BMI (≥40) 也没有显著影响完成率.
结论:
- 医学并发症没有显示出对该队列住院患者产后永久避孕措施的统计学上显著影响.
- 虽然没有观察到显著的影响,但减轻可修改的障碍,以实现所需的永久避孕措施是必不可少的.
- 建议进行进一步的研究,以充分理解医疗并发症和避孕选择之间的复杂相互作用.
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