在助产士产后家庭访问期间实施避孕植入物插入的可行性:一项探索性定性研究
Jessica R Botfield1, Malcolm Moffat2, Catherine Dunphy3
1SPHERE NHMRC Centre of Research Excellence, Australia; Department of General Practice, Monash University, VIC, Australia; Family Planning Australia, NSW, Australia.
概括
助产士发现在产后家庭访问期间提供避孕植入物是可行的和可以接受的. 成功的关键因素包括加强避孕讨论和强有力的支持系统,尽管连续性模型最适合.
科学领域:
- 生殖健康 生殖健康
- 孕产妇的护理 孕产妇的护理
- 避孕方法 访问 避孕方法 访问
背景情况:
- 许多妇女无法获得产后避孕,增加了意外怀孕的风险.
- 有效的避孕措施改善了母亲的健康状况和分娩间隔.
- 在家提供避孕植入物提供了一个潜在的解决方案,以增加获得.
研究的目的:
- 探索助产士在产后家庭访问期间提供避孕植入物的可行性.
- 确定影响助产士在家进行植入物插入的可行性因素.
主要方法:
- 质量探索性研究涉及21名助产士的采访.
- 使用反射性主题分析来分析数据.
主要成果:
- 助产士通常认为家庭植入物插入是可以接受和可行的.
- 关于工作量和安排的担忧被提出,但被认为是可以管理的,特别是在护理连续性模型中.
- 加强"避孕对话"和强大的支持结构 (政策,培训,工作量考虑) 被认为是成功实施的关键.
结论:
- 助产士在家提供避孕植入物被认为是可以接受和可行的,特别是在护理环境的连续性范围内.
- 成功实施需要集成的"避孕对话"和全面的支持.
- 建议通过试验进行进一步的研究,以评估现实世界的可行性和可接受性.
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