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目的提出产后妇女非意愿妊娠的干预措施并评价效果,为降低哺乳期非意愿妊娠提供依据。方法以330名产妇作为干预对象,以文化程度、年龄、分娩时间、分娩方式作为匹配因素,选择对照组。接产医院对干预组产妇配偶进行避孕宣教,发放避孕用具,并在产后42天回访强化宣教。对照组只接受常规产科服务。结果 1年后非意愿妊娠在干预组和对照组的发生率分别为2.3%和11.1%,差异有统计学意义(P=0.000)。干预组综合避孕率90.3%,明显高于对照组41.1%(P=0.000)。干预组避孕知识得分高于对照组(P=0.000)。结论由接产医院实施的产妇及配偶哺乳期科学避孕干预措施,能减少产后非意愿妊娠的发生,保障产后妇女的生殖健康。
OBJECTIVE: To propose interventions for unwanted pregnancy in postpartum women and to evaluate their effects, so as to provide basis for reducing unplanned pregnancy during lactation. Methods A total of 330 mothers were chosen as interventions. The educational level, age, delivery time and mode of delivery were used as matching factors to select the control group. The receiving hospital contraception group maternal spouse contraceptive mission, the release of contraceptives, and postnatal 42 days to visit to strengthen the mission. The control group received routine obstetric services only. Results The incidence of unplanned pregnancy after one year was 2.3% in the intervention group and 11.1% in the control group, the difference was statistically significant (P = 0.000). The comprehensive contraceptive intervention rate was 90.3% in the intervention group, which was significantly higher than that in the control group (41.1%, P = 0.000). Intervention group contraceptive knowledge score higher than the control group (P = 0.000). Conclusion The maternal and spouse breastfeeding scientific contraceptive interventions implemented in the obstetrics and gynecology hospital can reduce the incidence of postpartum unintended pregnancy and ensure the reproductive health of postpartum women.