Ogburn Joseph A Tony, Espey Eve, Stonehocker Jody
Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM 87131-0001, USA.
Contraception. 2005 Dec;72(6):426-9. doi: 10.1016/j.contraception.2005.05.016. Epub 2005 Aug 9.
The objective of this study was to determine the proportion of postpartum women at the University of New Mexico who choose an IUD for contraception, the number who actually obtain one and the barriers to postpartum IUD insertion.
We conducted a retrospective chart review of 1627 postpartum women who delivered at the University of New Mexico. Those women who indicated at hospital discharge that they desired an IUD comprised the study group of 193 women. Medical records were reviewed to identify the timing of IUD placement. If an IUD was not inserted, we attempted to determine the reason by reviewing clinic records.
Twelve percent of postpartum women requested an IUD. Records were available for 114 women. Of these, only 69 (60%) actually obtained an IUD. Barriers to postpartum IUD insertion included provider advice against the IUD, patient failure to return for a postpartum visit and early repeat pregnancy.
We conclude that postpartum women desiring an IUD may have difficulty obtaining one.
本研究的目的是确定新墨西哥大学选择宫内节育器（IUD）避孕的产后女性比例、实际获得宫内节育器的人数以及产后放置宫内节育器的障碍。
我们对在新墨西哥大学分娩的1627名产后女性进行了回顾性病历审查。那些在出院时表示希望使用宫内节育器的女性组成了193名女性的研究组。审查病历以确定宫内节育器放置的时间。如果未插入宫内节育器，我们试图通过审查诊所记录来确定原因。
12%的产后女性要求使用宫内节育器。有114名女性的记录可用。其中，只有69名（60%）实际获得了宫内节育器。产后放置宫内节育器的障碍包括提供者反对使用宫内节育器的建议、患者未返回进行产后检查以及早期再次怀孕。
我们得出结论，希望使用宫内节育器的产后女性可能难以获得。
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