Kopp Dawn M, Bengtson Angela, Wilkinson Jeffrey, Chipungu Ennet, Moyo Margaret, Tang Jennifer H
a UNC Project-Malawi , Lilongwe , Malawi.
b Department of Obstetrics and Gynecology , University of North Carolina , Chapel Hill , NC , USA.
Eur J Contracept Reprod Health Care. 2017 Oct;22(5):375-380. doi: 10.1080/13625187.2017.1397111. Epub 2017 Nov 13.
Unintended pregnancy contributes to morbidities, such as obstetric fistula. Furthermore, after fistula repair, women should avoid pregnancy for a year to prevent its breakdown. Our study objective was to evaluate the contraceptive knowledge, practices and intentions of women undergoing obstetric fistula repair at a centre in Malawi.
This cross-sectional study used a standardised survey to examine the contraceptive knowledge, practices and intentions of women undergoing obstetric fistula repair in Lilongwe, Malawi, between September 2011 and November 2014. Log binomial models were used to examine correlates of prior and planned contraceptive use.
The analysis included 569 women, of whom 61.3% had heard of, and 38.7% had used a modern method of contraception. Women aged 20-49 years, married, with secondary education or higher and with living children were significantly more likely to report prior use of a modern contraceptive method. Of the 354 women who still had reproductive potential (premenopausal women who had not undergone sterilisation) and answered questions on future contraceptive use, less than half (41.6%) planned to use a modern method of contraception after fistula repair. Planned modern contraceptive use was significantly associated with being currently married and having secondary education or higher.
Contraceptive knowledge, prior use and planned future use were low in our study population. To increase contraceptive use among women undergoing obstetric fistula repair, interventions in the postoperative period must seek to increase their family planning knowledge and access to contraceptive methods.
意外怀孕会导致诸如产科瘘等疾病。此外，瘘管修复术后，女性应避免怀孕一年以防止瘘管破裂。我们的研究目的是评估在马拉维一个中心接受产科瘘管修复的女性的避孕知识、实践和意愿。
这项横断面研究使用标准化调查来检查2011年9月至2014年11月期间在马拉维利隆圭接受产科瘘管修复的女性的避孕知识、实践和意愿。使用对数二项模型来检查既往和计划使用避孕方法的相关因素。
分析纳入了569名女性，其中61.3%听说过现代避孕方法，38.7%使用过现代避孕方法。年龄在20 - 49岁、已婚、接受过中等及以上教育且有存活子女的女性报告既往使用现代避孕方法的可能性显著更高。在354名仍有生育潜力（未绝育的绝经前女性）且回答了关于未来避孕使用问题的女性中，不到一半（41.6%）计划在瘘管修复后使用现代避孕方法。计划使用现代避孕方法与当前已婚以及接受过中等及以上教育显著相关。
我们研究人群中的避孕知识、既往使用情况和计划未来使用情况较低。为了增加接受产科瘘管修复的女性的避孕使用，术后干预必须设法增加她们的计划生育知识并提供避孕方法。
