Engin-Ustün Yaprak, Ustün Yusuf, Cetin Feray, Meydanli M Mutlu, Kafkasli Ayşe, Sezgin Bülent
Department of Obstetrics and Gynecology, School of Medicine, Inonu University, Malatya, Turkey.
Arch Gynecol Obstet. 2007 Jun;275(6):429-32. doi: 10.1007/s00404-006-0287-z. Epub 2006 Nov 29.
The aim of this study was to evaluate the effect of postpartum counseling on postpartum contraceptive use.
One hundred and forty-three women who delivered between 1 January 2004 and 31 September 2004 and counseled about postpartum contraception were included in the study. The participants were interviewed by telephone. Age, gravidity, parity, and mode of delivery of the participants were recorded. Their method of contraception before pregnancy, their decision on the contraceptive method after counseling and the method actually used were asked.
Just after postpartum counseling, 47 women (32.9%) decided to use the intrauterine device (IUD), 23 (16.1%) condoms, 16 (11.2%) progestin injections, 7 (4.9%) oral contraceptives, and 7 (4.9%) coitus interruptus for contraception. Thirty-six women (25.2%) did not decide on any method of use. At the time of the telephone interview the actual method used was learned. Fifty-one women (35.7%) were using coitus interruptus, 45 women (31.5%) condoms, and 14 (9.8%) the IUD. Sixteen women (11.2%) were reported as not using any methods.
In spite of postpartum counseling, a high majority of the women appeared to use traditional and less effective contraceptive methods.
本研究旨在评估产后咨询对产后避孕措施使用情况的影响。
本研究纳入了2004年1月1日至2004年9月31日期间分娩并接受产后避孕咨询的143名女性。通过电话对参与者进行访谈。记录参与者的年龄、妊娠次数、产次和分娩方式。询问她们怀孕前的避孕方法、咨询后对避孕方法的决定以及实际使用的方法。
产后咨询刚结束时，47名女性（32.9%）决定使用宫内节育器（IUD），23名（16.1%）使用避孕套，16名（11.2%）使用孕激素注射剂，7名（4.9%）使用口服避孕药，7名（4.9%）使用体外排精避孕。36名女性（25.2%）未决定采用任何避孕方法。在电话访谈时了解到实际使用的方法。51名女性（35.7%）使用体外排精，45名女性（31.5%）使用避孕套，14名（9.8%）使用宫内节育器。据报告，16名女性（11.2%）未使用任何避孕方法。
尽管进行了产后咨询，但绝大多数女性似乎仍使用传统且效果较差的避孕方法。
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