Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Division of Complex Family, Department of Obstetrics and Gynecology Planning.
Clin Obstet Gynecol. 2022 Sep 1;65(3):588-593. doi: 10.1097/GRF.0000000000000725. Epub 2022 Jun 16.
Birth control has long been considered an essential part of postpartum rounds. Many health care providers believe prevention of pregnancy is a priority in the postpartum period and that the inpatient postpartum stay is an ideal time to discuss contraception. This belief is not necessarily shared by birthing people. Many patients are unready to talk about contraception hours after birth, and contraceptive counseling may feel punitive for people whose reproduction has been marginalized. Health care providers must acknowledge this harmful and racist history to change counseling practices actively and thoughtfully to best meet patient needs while simultaneously respecting patient autonomy.
长期以来，产后访视一直被认为是产后护理的重要组成部分。许多医疗保健提供者认为，预防怀孕是产后阶段的首要任务，而住院产后期间是讨论避孕措施的理想时机。但这种观点并不一定为产妇所认同。许多产妇在分娩后数小时内都还没有准备好讨论避孕问题，而对于那些生育权利被边缘化的人来说，避孕咨询可能会让他们感到受到惩罚。医疗保健提供者必须认识到这种有害和种族主义的历史，才能积极和深思熟虑地改变咨询实践，以最好地满足患者的需求，同时尊重患者的自主权。
