Department of Pediatrics and Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, United States.
Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, United States.
Contraception. 2024 Jul;135:110465. doi: 10.1016/j.contraception.2024.110465. Epub 2024 Apr 16.
To explore the relevance of pregnancy intention as a screen for contraceptive needs among postpartum individuals.
We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year and current desire to prevent pregnancy.
Most individuals (87%) desired pregnancy prevention now, including 73% of individuals who desired or were ambivalent about pregnancy in the next year.
A majority of individuals considering pregnancy in the next year desired pregnancy prevention now. Directly assessing current desire to prevent pregnancy may be more specific for contraceptive needs in postpartum individuals.
Our ability to ensure that all individuals who want to prevent pregnancy have access to contraception depends on the use of effective screening questions. These findings prompt consideration of broader clinical implementation of screening for desire to prevent pregnancy in lieu of questions about pregnancy intention in the next year.
探讨妊娠意图作为产后人群避孕需求的筛查指标的相关性。
我们调查了 234 名产后个体，以评估他们在未来一年内的妊娠意图与当前避孕意愿之间的一致性。
大多数个体（87%）目前希望避孕，包括 73%的个体在未来一年内希望或对妊娠持矛盾态度。
大多数计划在未来一年内妊娠的个体目前希望避孕。直接评估当前避孕意愿可能更能明确产后个体的避孕需求。
我们确保所有希望避孕的个体都能获得避孕措施的能力取决于有效筛查问题的使用。这些发现促使我们考虑更广泛地在临床实践中实施避孕意愿筛查，而不是询问未来一年内的妊娠意图。
