Rasch Vibeke, Yambesi Fortunata, Kipingili Rose
Department of International Health, Institute of Public Health, Copenhagen University, Copenhagen, Denmark.
Contraception. 2007 Jan;75(1):66-70. doi: 10.1016/j.contraception.2006.08.006. Epub 2006 Oct 9.
This study describes the outcome of a postabortion care intervention aimed at introducing the female condom as a means of preventing women from having unwanted pregnancies and sexually transmitted infections (STIs)/HIV.
Postabortion contraceptive counseling and services were offered to 548 women admitted to the Kagera Regional Hospital for incomplete abortion. The counseling included information about STI/HIV and the use male or female condom. In total, 521 (95%) women accepted contraception.
Contraceptive use was assessed 3 months after abortion among 475 (91%) women. The female condom was accepted by 201 of 521 (39%) and was used by 158 of 521 (30%). Women who had experienced an unsafe abortion, had attended secondary school or earned an income were more likely to accept the female condom. The women were generally satisfied with the method, and the majority intended to use it again.
Postabortion care programs provide an excellent entry point for introducing the female condom as a contraceptive method for the prevention of both repeat unwanted pregnancies and STI/HIV infection.
本研究描述了一项流产后护理干预措施的结果，该干预旨在引入女用避孕套，作为预防女性意外怀孕和性传播感染/艾滋病毒的一种手段。
为548名因不完全流产入住卡盖拉地区医院的妇女提供流产后避孕咨询和服务。咨询内容包括性传播感染/艾滋病毒以及男用或女用避孕套的使用信息。共有521名（95%）妇女接受了避孕措施。
在475名（91%）妇女流产后3个月对其避孕措施的使用情况进行了评估。521名妇女中有201名（39%）接受了女用避孕套，521名中有158名（30%）使用了女用避孕套。经历过不安全流产、上过中学或有收入的妇女更有可能接受女用避孕套。这些妇女总体上对该方法感到满意，并且大多数人打算再次使用。
流产后护理项目为引入女用避孕套作为预防再次意外怀孕和性传播感染/艾滋病毒感染的避孕方法提供了一个绝佳的切入点。
