Department of Obstetrics and Gynecology, Women and Infants Hospital/Brown University, 101 Dudley Street, Providence, Rhode Island 02905, USA.
Department of Obstetrics and Gynecology, Women and Infants Hospital/Brown University, 101 Dudley Street, Providence, Rhode Island 02905, USA.
Contraception. 2019 Aug;100(2):152-154. doi: 10.1016/j.contraception.2019.04.003. Epub 2019 Apr 16.
To describe contraceptive knowledge and counseling practices of postpartum nurses.
We surveyed postpartum nurses at the largest women's hospital in Rhode Island.
We distributed 117 anonymous questionnaires and received 58 responses (response rate=50%). Twenty-three of 51 nurses (45%) reported routinely offering contraceptive advice to new mothers. Only 5/55 (9%) responded correctly that combined hormonal contraceptives were an "unacceptable health risk" in the immediate postpartum period. A minority of respondents correctly classified the progestin-only pill, depot medroxyprogesterone acetate, the etonogestrel implant, the levonorgestrel intrauterine system and the copper intrauterine device as safe to use during lactation [14/56 (25%), 24/56 (43%), 27/56 (48%), 19/55 (35%) and 9/55 (16%), respectively]. Thirty-three of 51 nurses (65%) incorrectly responded that depot medroxyprogesterone acetate decreases milk supply if started immediately postpartum.
There are opportunities to improve knowledge regarding contraceptive safety and impact on lactation among postpartum nurses at our institution.
描述产后护士的避孕知识和咨询实践。
我们调查了罗得岛州最大的妇女医院的产后护士。
我们发放了 117 份匿名问卷，收到了 58 份回复（回复率为 50%）。51 名护士中有 23 名（45%）报告常规向新妈妈提供避孕建议。只有 5/55（9%）的人正确回答说，联合激素避孕药在产后立即使用是“不可接受的健康风险”。少数受访者正确地将孕激素避孕药、醋酸甲羟孕酮长效避孕针、依托孕烯植入物、左炔诺孕酮宫内节育系统和铜宫内节育器归类为在哺乳期使用安全[14/56（25%）、24/56（43%）、27/56（48%）、19/55（35%）和 9/55（16%）]。51 名护士中有 33 名（65%）错误地回答说，醋酸甲羟孕酮长效避孕针如果立即在产后开始使用会减少乳汁供应。
我们机构的产后护士在避孕安全性和对哺乳的影响方面有机会提高知识。
