Potter J E, Mojarro O, Nuñez L
Stud Fam Plann. 1987 May-Jun;18(3):144-56.
This paper offers two types of evidence in support of the idea that family planning services are most expediently provided as an integral part of the health and medical organization for maternity care. First, prenatal care and medical attention at delivery are found to be closely associated with postpartum contraceptive acceptance in a 1981 survey of family planning in rural Mexico. Second, interviews of a sample of doctors, nurses, and auxiliaries who provide maternal health services to the rural population reveal that these practitioners favor long birth intervals and small completed families, that they recommend the use of modern contraceptive methods including female sterilization, and that those in the employ of public institutions are motivated to recruit acceptors of these methods. The main impediment to contraceptive acceptance in this context is believed to be fear of side effects and permanent health consequences rather than the desire for additional children.
本文提供了两类证据，以支持以下观点：计划生育服务作为孕产妇保健健康和医疗组织的一个组成部分来提供最为便利。首先，在1981年对墨西哥农村计划生育情况的一项调查中发现，产前护理和分娩时的医疗护理与产后避孕措施的接受情况密切相关。其次，对为农村人口提供孕产妇保健服务的医生、护士和辅助人员样本进行的访谈显示，这些从业者赞成较长的生育间隔和较小的家庭规模，他们推荐使用包括女性绝育在内的现代避孕方法，并且受雇于公共机构的人员有动力招募这些方法的接受者。在这种情况下，避孕措施接受的主要障碍据信是对副作用和永久性健康后果的恐惧，而不是想要更多孩子。
