Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA. Address: 5001 El Paso Dr, El Paso, TX, 79905.
Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA. Address: 5001 El Paso Dr, El Paso, TX, 79905.
J Gynecol Obstet Hum Reprod. 2022 Nov;51(9):102457. doi: 10.1016/j.jogoh.2022.102457. Epub 2022 Aug 8.
Determine if providing basic contraceptive counseling during prenatal visits increases pregnant Hispanic women's acceptance of immediate postpartum long-acting reversible contraception (LARC).
Respondents completed a short survey consisting of demographic information, an acculturation scale, and perceptions of immediate postpartum LARC use. After reading a brief educational excerpt on intrauterine devices (IUDs) and the subdermal contraceptive implant, LARC acceptability was reassessed. The study included 198 Hispanic women, ages 14 and older, in the 2nd or 3rd trimester of pregnancy receiving care at an academic practice along the United States-Mexico border in West Texas. Analysis was performed using a McNemar test, univariate and multivariable relative risk (RR) regression.
Prior to an educational intervention, 34.5% of respondents indicated that they were planning to use immediate postpartum LARC. Following the educational intervention, 74.5% of respondents indicated they would consider a postpartum LARC. The pre/post comparison on the intent to use postpartum LARC showed that a significant number of respondents changed their intention to use LARC after reading the educational intervention (RR= 2.54, p<0.0001). LARC acceptability was high among single women, those less than 25-years-old, women with current unintended pregnancies, and women using a contraceptive method that failed when they became pregnant.
In communities with a high proportion of Hispanic women, postpartum contraceptive counseling is crucial for patient education and family planning. When women are provided with brief, structured contraceptive counseling during prenatal visits, they are more willing to consider use of an immediate postpartum LARC for their future family planning.
确定在产前访视中提供基本避孕咨询是否会增加接受即刻产后长效可逆避孕（LARC）的怀孕西班牙裔妇女的比例。
受访者完成了一份简短的调查问卷，其中包括人口统计学信息、文化适应量表和对即刻产后 LARC 使用的看法。在阅读了关于宫内节育器（IUD）和皮下避孕植入物的简短教育摘录后，重新评估 LARC 的可接受性。该研究包括在德克萨斯州西部美国-墨西哥边境的一所学术实践中接受护理的 198 名年龄在 14 岁及以上的西班牙裔孕妇，处于妊娠第 2 或第 3 期。分析使用 McNemar 检验、单变量和多变量相对风险（RR）回归进行。
在进行教育干预之前，34.5%的受访者表示计划使用即刻产后 LARC。在教育干预之后，74.5%的受访者表示他们会考虑产后 LARC。在意图使用产后 LARC 方面的前后比较表明，在阅读教育干预后，相当数量的受访者改变了使用 LARC 的意图（RR=2.54，p<0.0001）。在单身女性、年龄小于 25 岁、当前有意外怀孕的女性以及在怀孕时使用的避孕方法失败的女性中，LARC 的可接受性较高。
在西班牙裔女性比例较高的社区中，产后避孕咨询对于患者教育和计划生育至关重要。当在产前访视中为女性提供简短、结构化的避孕咨询时，她们更愿意考虑使用即刻产后 LARC 来规划未来的生育。
