Millar Amy, Vogel Rachel Isaksson, Bedell Sabrina, Ayers Looby Maureen, Hubbs Jessica L, Harlow Bernard L, Ghebre Rahel
University of Minnesota Department of Obstetrics, Gynecology and Women's Health, 420 Delaware St SE, MMC 395, Minneapolis, MN 55455 USA.
Boston University School of Public Health, Boston, MA USA.
Contracept Reprod Med. 2017 Apr 4;2:14. doi: 10.1186/s40834-017-0041-x. eCollection 2017.
The postpartum period is a crucial time to provide family planning counseling and can decrease incidence of adverse reproductive outcomes. The purpose of this study was to characterize patterns of postpartum contraception and to investigate long acting reversible contraceptive (LARC) use among Somali women living in a metropolitan area of Minnesota in an effort to provide better family planning and reproductive health counseling in this growing immigrant population.
A retrospective chart review was conducted of Somali women who delivered between January 1, 2011 and December 31, 2014. Information was collected regarding family planning counseling provided and contraceptive methods chosen at the postpartum clinic visit.
Of the 747 Somali women who delivered during this time period, 56.4% had no postpartum follow up visit. At the postpartum visit, 88.3% of women received family planning counseling and 80.8% chose a contraceptive method with the remainder declining. The intrauterine device (IUD) was the most popular contraceptive method, chosen by 39.7% of women. Other than parity, no statistically significant differences were observed between women who chose LARC versus other contraceptive methods. Of the women that chose a LARC, 39.4% had it placed at the time of their postpartum visit; immediate placement was statistically significantly more likely with more recent delivery, lower BMI and obstetrician as the provider type.
The IUD was the most popular method of postpartum contraception. There was a trend toward increase in LARC use with increasing parity. Same-day LARC placement was uncommon, but should be encouraged in this population given high loss to follow up rate.
产后时期是提供计划生育咨询的关键时期，可降低不良生殖结局的发生率。本研究的目的是描述产后避孕模式，并调查明尼苏达州一个大都市地区索马里妇女长效可逆避孕法（LARC）的使用情况，以便为这一不断增长的移民群体提供更好的计划生育和生殖健康咨询。
对2011年1月1日至2014年12月31日期间分娩的索马里妇女进行回顾性病历审查。收集了产后诊所就诊时提供的计划生育咨询和选择的避孕方法的信息。
在此期间分娩的747名索马里妇女中，56.4%没有产后随访。在产后就诊时，88.3%的妇女接受了计划生育咨询，80.8%的妇女选择了避孕方法，其余的则拒绝了。宫内节育器（IUD）是最受欢迎的避孕方法，39.7%的妇女选择了该方法。除了产次外，选择LARC的妇女与选择其他避孕方法的妇女之间未观察到统计学上的显著差异。在选择LARC的妇女中，39.4%在产后就诊时放置了LARC；近期分娩、较低的体重指数和由产科医生作为提供者时，即时放置在统计学上更有可能。
宫内节育器是最受欢迎的产后避孕方法。随着产次增加，LARC的使用有增加趋势。当日放置LARC并不常见，但鉴于随访失访率高，应在这一人群中鼓励这种做法。
