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在一家三级保健医院分娩的妇女中使用产后计划生育:一项描述性横断面研究。

Use of Postpartum Family Planning among Women Undergoing Deliveries in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynaecology, Dhulikhel Hospital, Dhulikhel, Kavrepalanchowk, Nepal.

Department of Neonatology, Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Nov 15;59(243):1086-1089. doi: 10.31729/jnma.7043.

Abstract

INTRODUCTION

The postpartum period is a high-risk time for unintended pregnancies. A short inter-pregnancy interval leads to a series of complications for both the mother and the fetus. Postpartum contraceptive knowledge helps women decide the time frame for future pregnancy and prepare. The study aimed to find out the prevalence of postpartum family planning among women undergoing deliveries in a tertiary care hospital.

METHODS

A descriptive cross-sectional study was conducted from hospital records of all postpartum women delivering in a tertiary care hospital from Jan 2017 to Jan 2019. Ethical approval was taken from the Institutional Review Committee (IRC) of Kathmandu University School of Medical Sciences/Dhulikhel Hospital (reference number: 62/19). Convenience sampling was done. Data was entered and analyzed using Statistical Package of the Social Sciences version 26. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Out of 4205 deliveries, 1211 (28.7%) (27.33-30.06 at 95% Confidence Interval) women utilized postpartum family planning. Depot-medroxyprogesterone acetate was adopted by a majority of the participants 802 (19.1%).

CONCLUSIONS

The use of postpartum contraception in this study was similar to the findings from studies done in national data and studies.

摘要

简介

产后是意外怀孕的高风险时期。生育间隔过短会给母婴双方带来一系列并发症。产后避孕知识有助于女性决定未来怀孕的时间框架并做好准备。本研究旨在了解在一家三级保健医院分娩的妇女产后计划生育的流行情况。

方法

本研究为 2017 年 1 月至 2019 年 1 月在一家三级保健医院分娩的所有产后妇女的医院记录进行了描述性横断面研究。该研究已获得尼泊尔加德满都大学医学院/杜利凯尔医院机构审查委员会(参考编号:62/19)的伦理批准。采用便利抽样法。使用社会科学统计软件包 26 版输入和分析数据。计算了 95%置信区间的点估计值,以及二进制数据的频率和比例。

结果

在 4205 次分娩中,有 1211 名(28.7%)(95%置信区间为 27.33-30.06)妇女采用了产后计划生育。大多数参与者(802 人,19.1%)采用了醋酸甲羟孕酮长效避孕针。

结论

本研究中产后避孕的使用与全国数据和研究中的研究结果相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff26/9124338/a45bc2cacc4c/JNMA-59-243-1086-g1.jpg

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