结构化咨询对分娩后避孕药接受的影响:一个集群随机对照试验,浦都切里
Susmitha P S1, Venkatachalam Jayaseelan1, Vignesh Rajan1
1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
The Indian journal of medical research
|April 21, 2025
概括
结构化咨询显著增加了产后避孕措施的接受率,在浦都切里妇女中增加了三倍. 这项干预改善了母亲的知识,并有可能在国家范围内实施.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 计划生育 计划生育方式
背景情况:
- 印度面临着大量未满足的避孕需求,产后吸收率较低.
- 产后避孕措施的接受对于母亲和儿童的健康结果至关重要.
- 解决产后计划生育的未满足需求是公共卫生的优先事项.
研究的目的:
- 评估结构化咨询对分娩后避孕措施接受度的有效性.
- 评估咨询对产后六周内避孕药服用的影响.
- 确定咨询对母亲关于避孕的知识的影响.
主要方法:
- 一个随机对照试验,涉及236名第三季度的孕妇在Puducherry.
- 干预组接受了有结构的咨询,使用视听辅助工具和小册子;对照组接受了标准的护理.
- 产后六周的随访;使用奇平方测试和相对风险分析数据.
主要成果:
- 在产后六周接受避孕措施的比例在干预组为66.7%,对照组为21%.
- 结构化咨询导致产后避孕药接受率增加了三倍 (RR:3.21,P<0.001).
- 在干预组的母亲中观察到知识水平的显著改善.
结论:
- 结构化的咨询会有效地提高了产后避孕药的使用率.
- 该干预措施提高了母亲的知识,并有可能在孕产妇健康服务中得到广泛采用.
- 实施这一战略可以显著提高国家产后避孕药接受率.
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