Morhe Emmanuel S K, Ankobea Frank, Asubonteng Gerald O, Opoku Baafuor, Turpin Cornelius A, Dalton Vanessa K
Department of Obstetrics and Gynecology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
Int J Gynaecol Obstet. 2017 Aug;138(2):219-224. doi: 10.1002/ijgo.12216. Epub 2017 Jun 9.
To assess postpartum contraceptive choices among women attending a well-baby clinic in Ghana.
From April 1 to May 31, 2011, a descriptive cross-sectional survey was conducted among women who attended the well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi, at 6-24 months after delivery. Participants were consecutively recruited and interviewed using semi-structured questionnaires. Data were collected on demographics, exposure to family planning counseling, message content, and postpartum contraceptive choices. Differences between the profiles of women who did or did not take up postpartum family planning were assessed.
Of the 200 women enrolled, 44 (22.0%) wanted no more children and the last pregnancy was unintended among 88 (44.0%). In all, 110 (55.0%) women took up postpartum contraception, with the calendar method (n=57; 51.8%) and injectable contraceptives (n=22; 20.0%) cited as popular choices. Family planning counseling was received at the prenatal clinic by 47 (23.5%) women, with 12 (6.0%) given written referrals on the postnatal ward. More previous contraceptive users than previous non-users chose long-acting or permanent postpartum methods (P<0.001).
Inadequate postpartum family planning counseling and referrals during maternity care were recorded, suggesting that a comprehensive educational intervention is required to improve uptake.
评估加纳一家母婴健康诊所中女性产后的避孕选择情况。
2011年4月1日至5月31日，对库马西Komfo Anokye教学医院母婴健康诊所产后6至24个月的女性进行了描述性横断面调查。连续招募参与者并使用半结构化问卷进行访谈。收集了有关人口统计学、计划生育咨询接触情况、信息内容和产后避孕选择的数据。评估了采用或未采用产后计划生育的女性特征之间的差异。
在纳入的200名女性中，44名（22.0%）不想再要孩子，88名（44.0%）的最后一次怀孕是意外怀孕。总共有110名（55.0%）女性采用了产后避孕措施，其中安全期避孕法（n = 57；51.8%）和注射用避孕药（n = 22；20.0%）被认为是常用选择。47名（23.5%）女性在产前诊所接受了计划生育咨询，12名（6.0%）在产后病房收到了书面转诊建议。与以前未使用过避孕措施的女性相比，更多以前使用过避孕措施的女性选择了长效或永久性产后避孕方法（P < 0.001）。
记录显示，孕期护理期间产后计划生育咨询和转诊不足，这表明需要进行全面的教育干预以提高采用率。
