在未满足永久产后避孕要求的患者中使用避孕措施
Cheryl Godcharles1, Megan Carney2, Amanda Lacue3
1Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA.
Cureus
|June 13, 2025
概括
没有满足产后永久避孕 (PPC) 要求的妇女在分娩后使用任何避孕措施的可能性明显低. 这影响了长期使用避孕药的情况,并强调了改善永久避孕选择的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 计划生育 计划生育方式
- 公共卫生 公共卫生
背景情况:
- 产后永久避孕 (PPC) 是一种非常有效的避孕方法.
- 产后期为永久避孕提供了一个安全而方便的窗口.
- 了解未得到满足的PPC请求对后续避孕药使用的影响至关重要.
研究的目的:
- 为了确定未满足PPC请求的患者是否与不希望PPC的患者一样有可能使用有效的产后避孕措施.
- 调查未得到满足的永久避孕请求与整体避孕方式的坚持之间的关联.
主要方法:
- 在一年内,城市学术医院对1894例分娩进行了回顾性图表审查.
- 在没有得到满足的PPC请求的妇女和对照组之间,在出院时,产后访问和产后一年使用避孕药的比较.
- 对二次结果的分析,包括重复怀孕率.
主要成果:
- 与对照组相比,未得到满足的PPC请求的妇女在出院时使用避孕药的比例较低 (48.35%vs73.93%) 和分娩后一年 (81.43%vs90.16%).
- 在产后访问中也观察到避孕使用的显著差异.
- 91名妇女没有满足PPC请求,而1671人不希望PPC.
结论:
- 未得到满足的产后永久避孕要求与整体避孕使用率显著降低有关.
- 被拒绝PPC的女性不太可能在多个分娩后的时间点使用任何形式的避孕措施.
- 解决未得到满足的PPC请求可能会改善产后避孕药的坚持,并减少意外怀孕.
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