Chhabra Harpreet Kaur, Mohanty Ipseeta Ray, Mohanty Nimain C, Thamke Pratima, Deshmukh Y A
MGM Medical College, Navi Mumbai, India.
Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, 410 218 Maharashtra India.
J Obstet Gynaecol India. 2016 Dec;66(6):471-479. doi: 10.1007/s13224-015-0721-x. Epub 2015 Jul 25.
In India, although a number of contraceptive choices are available, the usage of contraceptive methods among postpartum women is rather low. The current study intended to determine the impact of "structured contraception counseling" on women's decision making on selection of contraceptive methods and the reasons behind the selection of a contraceptive method.
One-hundred-and-seventeen postpartum women in the age group of 18-35 years, requesting contraception, were enrolled in the study. "Structured contraception counseling" was provided using a standardized protocol with balanced and comprehensive education material on the available hormonal and nonhormonal contraceptive methods. Questionnaires with information on the women's pre- and post-counseling contraceptive choice, her perceptions, and the reasons behind her postcounseling decision were filled by the participating women.
Maximum women enrolled for the study were in the age group of 21-25 years. In pre-counseling, 36 % postpartum women selected a contraceptive method, 23.1 % a nonhormonal method, and 12.8 % a hormonal method. After "structured contraception counseling," 92.25 % of women chose a contraceptive method. There were significant differences between the women's choices of contraceptive methods in the pre- and post-counseling sessions, respectively [progesterone-only pills (POP): 5.1 vs. 38.46 %, ( < 0.001); injectable-depot medroxy progesterone acetate (DMPA): 2.56 vs. 21.356 %, ( < 0.01); and intra uterine device (IUD): 10.28 vs. 23.92 %, ( < 0.001). 38.46 % chose a POP, 21.36 % injectable-DMPA, and 23.9 % the IUD].
"Structured contraception counseling" using standardized protocol resulted in significant improvements in the selection of contraceptive methods by postpartum women.
在印度，尽管有多种避孕选择，但产后妇女的避孕方法使用率相当低。本研究旨在确定“结构化避孕咨询”对女性选择避孕方法的决策以及选择某种避孕方法背后原因的影响。
117名年龄在18 - 35岁、要求避孕的产后妇女参与了本研究。使用标准化方案提供“结构化避孕咨询”，该方案配有关于现有激素和非激素避孕方法的平衡且全面的教育材料。参与研究的妇女填写问卷，内容包括咨询前后的避孕选择、她们的看法以及咨询后决策背后的原因。
参与研究的女性中年龄最大的群体为21 - 25岁。咨询前，36%的产后妇女选择了避孕方法，23.1%选择了非激素方法，12.8%选择了激素方法。经过“结构化避孕咨询”后，92.25%的妇女选择了避孕方法。咨询前后妇女选择避孕方法存在显著差异[仅含孕激素的避孕药（POP）：5.1%对38.46%，（<0.001）；长效醋酸甲羟孕酮注射剂（DMPA）：2.56%对21.356%，（<0.01）；宫内节育器（IUD）：10.28%对23.92%，（<0.001）。38.46%选择了POP，21.36%选择了注射用DMPA，23.9%选择了IUD]。
使用标准化方案的“结构化避孕咨询”显著改善了产后妇女避孕方法的选择。
