在分娩和产后避孕期间,母亲与儿童保护服务部门的接触
Nicole Kovski1, Lawrence M Berger2, Maria Cancian3
1Institute for Research on Poverty, University of Wisconsin, Madison, WI, USA.
Social science & medicine (1982)
|August 23, 2025
概括
在分娩期间,儿童保护服务 (CPS) 的参与与母亲获得常规产后避孕措施的减少有关. 这可能会影响生殖自主性,因此需要进一步研究医疗保健的交叉关系.
科学领域:
- 公共卫生
- 生殖健康
- 社会工作
背景情况:
- 儿童保护服务 (CPS) 在产前期经常与母亲和婴儿互动.
- 新生儿很容易受到伤害,
- 孕产妇参与和获得孕产妇医疗保健,特别是产后避孕措施的交叉关系尚未得到充分研究.
研究的目的:
- 调查母亲在分娩期间与儿童保护服务 (CPS) 的参与与接受产后避孕措施之间的联系.
- 确定CPS参与是否影响母亲在产后六个月内获得常规或紧急避孕措施的可能性.
主要方法:
- 使用人口层面的行政数据进行离散时间生存分析.
- 评估了母亲CPS参与和接受避孕药的关系.
- 对人口,健康和出生相关特征进行控制.
主要成果:
- 母亲在分娩期间的CPS参与与接受常规避孕 (短效和长效可逆方法) 的几率较低有关.
- 参与CPS与接受紧急避孕的可能性更高.
- 在常规避孕中最显著的差异发生在分娩后6周左右,这是分娩后检查的典型时间.
结论:
- 孕产妇的CPS参与对产后避孕措施的使用有重大影响.
- 医疗保健系统必须考虑CPS参与对生殖保健决策和自主性的影响.
- 进一步的研究对于了解CPS,医疗保健,生殖自主,耻辱和提供者偏见之间的复杂相互作用至关重要.
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