Barber Sarah L
Institute of Business and Economic Research, Haas School of Business, University of California, Berkeley, CA, USA.
Int Fam Plan Perspect. 2007 Mar;33(1):6-12. doi: 10.1363/3300607.
In Mexico, family planning advice has been incorporated into the clinical guidelines for prenatal care. However, the relationship between women's receipt of family planning advice during prenatal care and subsequent contraceptive use has not been evaluated.
Data were collected in 2003 and 2004 in 17 Mexican states from 2,238 urban low-income women postpartum. Participating women reported on prenatal services received and contraceptive use. Logistic and multinomial logistic regression models evaluated whether receiving family planning advice during prenatal care predicted current contraceptive use, after quality of care in the community, service utilization, delivery characteristics, household socioeconomic characteristics, and maternal and infant characteristics were controlled for.
Overall, 47% of women used a modern contraceptive method. Women who received family planning advice during prenatal care were more likely to use a contraceptive than were those who did not receive such advice (odds ratio, 2.2). Women who received family planning advice had a higher probability of using condoms (relative risk ratio, 2.3) and IUDs (5.2), and of undergoing sterilization (1.4), than of using no method.
Integrating family planning advice into prenatal care may be an important strategy for reaching women when their demand for contraception is high.
在墨西哥，计划生育咨询已被纳入产前护理临床指南。然而，产前护理期间妇女接受计划生育咨询与随后使用避孕药具之间的关系尚未得到评估。
2003年和2004年，在墨西哥17个州收集了2238名城市低收入产后妇女的数据。参与研究的妇女报告了她们接受的产前服务和避孕药具使用情况。在控制了社区护理质量、服务利用情况、分娩特征、家庭社会经济特征以及母婴特征之后，采用逻辑回归和多项逻辑回归模型评估产前护理期间接受计划生育咨询是否能预测当前避孕药具的使用情况。
总体而言，47%的妇女使用现代避孕方法。在产前护理期间接受计划生育咨询的妇女比未接受此类咨询的妇女更有可能使用避孕药具（优势比为2.2）。接受计划生育咨询的妇女使用避孕套（相对风险比为2.3）、宫内节育器（5.2）以及进行绝育手术（1.4）的可能性高于不使用任何避孕方法的可能性。
将计划生育咨询纳入产前护理可能是在妇女对避孕需求较高时接触她们的一项重要策略。
