卢旺达基加利两家公立医院中因堕胎住院的女性即时使用避孕措施的影响因素：一项横断面研究
Factors Affecting Immediate Use of Contraception Among Women Hospitalised for Abortion in Two Public Hospitals in Kigali, Rwanda: A Cross Sectional Study.
作者信息
Sebazungu Theodomir, Ruzindana Kenneth, Kitessa Doee, Magriples Urania
机构信息
University of Global Health Equity.
University of Rwanda.
出版信息
East Afr Health Res J. 2023;7(1):20-24. doi: 10.24248/eahrj.v7i1.704. Epub 2023 Jul 12.
BACKGROUND
The 2019-20 Rwanda demographic health survey revealed an overall use of modern contraceptives of 58% but participants were not likely to use family planning in the postpartum period. Three quarters of participants intended to use contraception only after they had resumed menses and not breastfeeding. This study intended to measure post-abortion contraception uptake and to evaluate factors affecting immediate post abortion contraception uptake among patients consulting two public hospitals in Kigali, Rwanda.
METHODS
This is an observational cross-sectional study of women admitted for abortion in 2 hospitals' obstetric units in Kigali; the University Teaching Hospital of Kigali (CHUK) and Muhima District Hospital (MH) from November 2019 to April 2020. Admission registry was accessed daily to determine abortion admissions. After informed consent, participants underwent a standardised interview prior to their discharge from respective hospital.
RESULTS
There were 252 participants over 6 months; 88.5% were counselled for post-abortion contraception and 52% desired contraception prior to hospital discharge. Upon discharge, 70.2% of the study participants who wished immediate post abortion contraception received it before discharge and 29.8% had no contraception despite having expressed interest for immediate post abortion contraception. Being married and involving husband in choosing post-abortion contraception were significantly associated with use of post-abortion contraception.
CONCLUSION
Post-abortion contraception uptake in 2 large public hospitals in Kigali remains low. Being married and involving husband in choosing post-abortion contraception are positive factors associated with post-abortion contraception uptake while choosing a permanent contraception is associated with not receiving any contraception at the time of discharge from hospital. There is a need to consider prescribing an alternative interim methods of contraception to women desiring permanent sterilisation.
背景
2019 - 20年卢旺达人口与健康调查显示，现代避孕方法的总体使用率为58%，但参与者在产后不太可能使用计划生育措施。四分之三的参与者打算仅在恢复月经且停止母乳喂养后才使用避孕措施。本研究旨在衡量流产后避孕措施的采用情况，并评估影响卢旺达基加利两家公立医院就诊患者流产后立即采用避孕措施的因素。
方法
这是一项对2019年11月至2020年4月在基加利两家医院产科病房接受流产手术的女性进行的观察性横断面研究；基加利大学教学医院（CHUK）和穆希马区医院（MH）。每天查阅入院登记册以确定流产入院情况。在获得知情同意后，参与者在从各自医院出院前接受标准化访谈。
结果
6个月内共有252名参与者；88.5%的人接受了流产后避孕咨询，52%的人在出院前希望采取避孕措施。出院时，希望在流产后立即采取避孕措施的研究参与者中，70.2%在出院前获得了避孕措施，29.8%尽管表示有兴趣在流产后立即采取避孕措施，但未采取任何避孕措施。已婚以及让丈夫参与选择流产后避孕措施与流产后避孕措施的使用显著相关。
结论
基加利两家大型公立医院的流产后避孕措施采用率仍然较低。已婚以及让丈夫参与选择流产后避孕措施是与流产后避孕措施采用相关的积极因素，而选择永久性避孕措施与出院时未采取任何避孕措施相关。有必要考虑为希望进行永久性绝育的女性开处替代的临时避孕方法。
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