Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Founders 4, Boston, MA 02114, USA.
Matern Child Health J. 2012 Oct;16(7):1440-6. doi: 10.1007/s10995-011-0911-9.
To explore attitudes about birth spacing among low-income, recently postpartum women, using qualitative methods, seven focus groups among postpartum women were conducted, probing knowledge and attitudes related to desired birth spacing. Transcripts of the discussions were reviewed and coded for salient themes using a Grounded Theory approach. In regards to whether to pursue pregnancy in the future, major themes included the availability of adequate resources, current family composition and the role of partners. With respect to when to have a next pregnancy, themes centered around the desire for particular intervals between siblings. Discussions of the effect of spacing on the health of the mother or child did not emerge frequently. Themes underlying postpartum women's desire for particular birth spacing are varied, but social and family considerations seem to predominate over concerns or knowledge about potential health effects. Improving women's knowledge about these consequences could lead to lowering the incidence of short interpregnancy intervals, known to be associated with adverse perinatal outcomes.
为了使用定性方法探究低收入、新近分娩后的女性对生育间隔的态度，对 7 组产后女性进行了焦点小组讨论，探讨了与期望生育间隔相关的知识和态度。使用扎根理论方法审查并对讨论记录进行编码以突出主题。关于是否要在未来怀孕，主要主题包括是否有足够的资源、当前的家庭构成和伴侣的角色。至于何时再次怀孕，主题集中在兄弟姐妹之间理想的间隔上。关于生育间隔对母婴健康的影响的讨论并不常见。影响产后女性特定生育间隔需求的主题多种多样，但社会和家庭因素似乎比对潜在健康影响的关注或了解更为重要。提高妇女对这些后果的认识可能会降低已知与不良围产期结局相关的短孕期间隔的发生率。
