影响避孕决策的范围:与产后母亲和提供者进行定性访谈
Liane M Ventura1, Alicia A Dahl2, Maimouna Issoufou Kapran2
1Department of Epidemiology and Community Health, The University of North Carolina at Charlotte, 9201 University City Blvd, Charlotte, NC 28223, USA; Center for Applied Research and Evaluation in Women's Health, College of Public Health, East Tennessee State University, Box 70264, Johnston City, TN 37614-1700, USA.
产后避孕的决定是个性化的,受到许多因素的影响. 支持母亲需要提供者承认影响选择的社会和经济挑战.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 卫生社会学 卫生社会学
背景情况:
- 妊娠间隔受到生物和行为因素的影响.
- 共享决策对于个性化计划生育和避孕偏好至关重要.
- 围产期的避孕咨询是复杂的,与母乳养等选择相交.
研究的目的:
- 探索影响产后避孕决策的多层次因素.
- 了解美国东南部农村地区产后母亲和产前护理提供者的观点.
主要方法:
- 这是一项定性研究,对16名产后母亲和8名产前护理提供者 (助产士,哺乳顾问,doula) 的观点进行了三元化.
- 采访通过电话进行,录音和转录.
- 用于编码和分析的感应性内容分析.
主要成果:
- 在母乳养期间了解安全的避孕方法很重要,尽管对乳供应影响的看法各不相同.
- 提供者对与个人偏好和计划生育目标一致的个性化决策的支持是非常有价值的.
- 社会风险因素,如财务资源和获得住房,食物和交通工具的机会,对决策有很大影响;医院内提供的服务可以改善接入.
结论:
- 产后避孕的决策是一个持续的,个性化的过程.
- 承认社会,经济和历史因素是支持母亲决定的关键.
- 建议对跨学科护理团队进行进一步的研究,以加强围产期医疗保健.
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