University of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, Utah.
University of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, Utah.
Womens Health Issues. 2018 Sep-Oct;28(5):393-400. doi: 10.1016/j.whi.2018.05.003. Epub 2018 Jul 4.
To assess the impact of contraceptive counseling on the uptake of long-acting reversible contraception (LARC), namely, intrauterine devices and the contraceptive implant, by 3 months postpartum among women with a recent preterm birth.
We enrolled patients in a single-blinded, one-to-one, randomized, controlled trial to assess the impact of enhanced family planning counseling immediately after a viable preterm birth in the inpatient setting. Participants received either structured counseling with an emphasis on LARC by a family planning specialist (intervention) or routine postpartum care (control). We followed participants to the primary outcome of LARC use 3 months postpartum.
We followed 121 participants for 3 months. Primary outcome data were available for 119 participants (61 intervention, 58 control). We found no demographic differences between the groups. Participants in the intervention group were significantly more likely to use LARC at 3 months postpartum compared with controls (51% vs. 31%; p < .05). For every six women who received the counseling intervention, one additional woman was using a LARC method at 3 months.
After a preterm birth, brief LARC-focused, structured counseling before hospital discharge significantly increased LARC method use at 3 months postpartum.
评估避孕咨询对近期早产女性产后 3 个月内长效可逆避孕（LARC），即宫内节育器和避孕植入物的采用率的影响。
我们招募了患者参加一项单盲、一对一、随机、对照试验，以评估在住院环境中对活产早产儿进行强化计划生育咨询对 LARC 的影响。参与者接受计划生育专家提供的结构化咨询（干预组）或常规产后护理（对照组），重点强调 LARC。我们随访参与者至产后 3 个月时的 LARC 使用主要结局。
我们随访了 121 名参与者 3 个月。119 名参与者（61 名干预组，58 名对照组）有主要结局数据。两组间无人口统计学差异。与对照组相比，干预组在产后 3 个月时更有可能使用 LARC（51%比 31%；p<.05）。每有 6 名接受咨询干预的女性，就有 1 名额外的女性在产后 3 个月时使用 LARC 方法。
在早产分娩后，在出院前进行短暂的以 LARC 为重点的结构化咨询可显著增加产后 3 个月时 LARC 方法的使用。
