Nelson Anita L, Shabaik Salma, Xandre Pamela, Awaida Joseph Y
1 Department of Obstetrics and Gynecology, Los Angeles BioMedical Research Institute at Harbor-UCLA Medical Center , David Geffen School of Medicine at UCLA, Manhattan Beach, California.
2 Department of Family Medicine, Harbor-UCLA Medical Center , Harbor City, California.
J Womens Health (Larchmt). 2016 Aug;25(8):832-9. doi: 10.1089/jwh.2015.5323. Epub 2016 Mar 14.
Reproductive life planning has become an essential element in programs designed to promote preconceptional care and increase utilization of effective contraceptive methods. This study sought to determine if women have reproductive life plans and what they think women should do to prepare for pregnancy.
Indigent English-speaking women in a family planning clinic were asked individually about their reproductive life plans, preparations needed for pregnancy, and the relative health risks of pregnancy compared to oral contraceptives.
Of the 250 women interviewed, only 53% were confident how many pregnancies they wanted in their lifetime; 46.3% were confident about when they desired their next pregnancy. Although virtually all agreed that women should plan and prepare for pregnancy, only 25.8% of women mentioned that any medical preparations were necessary before pregnancy. Women's choice of contraception did not match their pregnancy intentions. Over 60% of women thought that the pill was at least as hazardous to a woman's health as pregnancy.
In this study, many English-speaking women had no distinct reproductive life plans. Most did not think that medical preparations are needed before pregnancy. New approaches may be useful to more productively identify women who need individualized counseling, preconception care, and/or more effective contraceptive methods.
生殖生活规划已成为旨在促进孕前保健和提高有效避孕方法使用率的项目中的一个基本要素。本研究旨在确定女性是否有生殖生活计划，以及她们认为女性为怀孕应做哪些准备。
在一家计划生育诊所，对贫困的英语女性个体进行询问，内容包括她们的生殖生活计划、怀孕所需准备以及与口服避孕药相比怀孕的相对健康风险。
在接受访谈的250名女性中，只有53%的人确定自己一生中想要生育的子女数量；46.3%的人确定自己希望下次怀孕的时间。虽然几乎所有人都同意女性应该为怀孕制定计划并做好准备，但只有25.8%的女性提到怀孕前需要进行任何医疗准备。女性的避孕选择与她们的怀孕意愿不匹配。超过60%的女性认为避孕药对女性健康的危害至少与怀孕相当。
在本研究中，许多英语女性没有明确的生殖生活计划。大多数人认为怀孕前不需要进行医疗准备。新的方法可能有助于更有效地识别那些需要个性化咨询、孕前保健和/或更有效避孕方法的女性。
