湖北黄石、荆门地区产妇产后避孕意愿及影响因素研究
|
摘要
目的:了解湖北省黄石、荆门地区全面二孩政策下产妇的产后避孕意愿及影响因素,为促进产后有效避孕提供参考依据。方法:采用横断面调查,以方便抽样方法对2017年12月—2018年3月在湖北省黄石市二医院、妇幼保健院和荆门市第一医院完成分娩的1247名妇女进行调查。自制问卷包括一般情况、产后1年避孕意愿、产后妇女避孕知识认知、产后避孕咨询服务获得情况等。利用SPSS 20.0统计软件进行χ~2检验和多因素logistic回归分析。结果:本次调查共获得有效问卷1092份,产妇产后1年有避孕意愿为977人(89.5%),无避孕意愿115人(10.5%)。多因素Logistic回归分析结果显示,年龄、本次分娩方式、得到产后避孕咨询服务、丈夫产后避孕态度以及再生育意愿是产妇产后避孕意愿的重要关联因素。结论:"全面二孩"政策下,妇女产后1年避孕意愿较积极,必须重视不同特征的孕产妇对于避孕知识、生育健康管理的需求,利用网络、传媒、社区卫生服务等,为孕产妇提供相关的健康指导。
Objective: To understand the maternal willingness and influencing factors on postpartum contraception after the implementation of general two-child policy, and to provide scientific evidence for postpartum contraception effectively. Methods: A cross-sectional survey was conducted, which included 1247 postpartum women from December 2017 to March 2018. The questionnaires included socio-demographic information, willingness to contraception of women one year after delivery, awareness of contraceptive knowledge, and accessed to postpartum contraceptive counseling services were self-administered by these postpartum women. Chi-square test and multivariate logistic regression analysis were performed by SPSS 20.0 statistical software. Results: A total of 1092 valid questionnaires were included. 977 women(89.5%) had willingness to contraception within one year after childbirth, and 115 women(10.5%) hadn't intention of contraception. The multivariate logistic regression analysis showed that age, mode of delivery, postpartum contraceptive counseling, husband's attitude toward postpartum contraception, and fertility willingness were associated with postpartum contraception. Conclusion: After the implementation of general two-child policy, women's attitude of postpartum contraception within one year after childbirth is positive. It is necessary to pay more attention to the needs of contraceptive knowledge and reproductive health management of women with different characteristics. It is important to provide relevant health guidance for women by network, media and community.
Objective: To understand the maternal willingness and influencing factors on postpartum contraception after the implementation of general two-child policy, and to provide scientific evidence for postpartum contraception effectively. Methods: A cross-sectional survey was conducted, which included 1247 postpartum women from December 2017 to March 2018. The questionnaires included socio-demographic information, willingness to contraception of women one year after delivery, awareness of contraceptive knowledge, and accessed to postpartum contraceptive counseling services were self-administered by these postpartum women. Chi-square test and multivariate logistic regression analysis were performed by SPSS 20.0 statistical software. Results: A total of 1092 valid questionnaires were included. 977 women(89.5%) had willingness to contraception within one year after childbirth, and 115 women(10.5%) hadn't intention of contraception. The multivariate logistic regression analysis showed that age, mode of delivery, postpartum contraceptive counseling, husband's attitude toward postpartum contraception, and fertility willingness were associated with postpartum contraception. Conclusion: After the implementation of general two-child policy, women's attitude of postpartum contraception within one year after childbirth is positive. It is necessary to pay more attention to the needs of contraceptive knowledge and reproductive health management of women with different characteristics. It is important to provide relevant health guidance for women by network, media and community.
引文
[1] Rotas M A, Haberman S, Levgur M. Cesarean scar ectopic pregnancies [J]. Obstet Gynecol, 2006, 107(6):1373-1381.
[2] King JC. The risk of maternal nutritional depletion and poor out- comes increases in early or closely spaced pregnancies[J].J N utr, 2003, 133(Suppl 2):1732-1736.
[3] DaVanzo J, Hale L, Razaque A, et al. Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bang ladesh[J].BJOG,2007,114(9):1079-1087.
[4] 吴尚纯,楚光华. 产后避孕的国内外指南[J]. 中国计划生育和妇产科,2012,4(6):11-17.
[5] 周萍,吴美样,侯林霞,等.产妇产后避孕的应用状况调查[J].广东医学,2018,39(S1):181-184.
[6] 杨秋英,陶建国,武俊青,等.孕妇产后的避孕意愿及其影响因素[J].生殖与避孕,2000,(2):105-111.
[7] HellerR,CameronS,BriggsR,et al. Postpartumcontraception: a missed opportunity to prevent unintended pregnancy and short interpregnancy intervals[J]. J Fam Plann Reprod Health Care, 2016,42(2): 93-98.
[8] 方芳,刘春兰.产后1年内意外妊娠妇女避孕状况调查[J].中国妇产科临床杂志,2013,14(6):487-489.
[9] Che Y, Cleland J. Unintended pregnancy among newly maried couples in Shanghai[J] Int Family Plan Perspect,2004,30:6-11.
[10] 沈洁,高丽丽,潘迎.北京市剖宫产育龄妇女产后避孕意愿分析[J].中国工程科学,2014,16(5):16-19.
[11] Lopez LM, Hiller JE, Grimes DA, et al. Education for contraceptive use by women after childbirth[J/OL]. Cochrane Database Syst Rev, 2015(7): CD001863.
[12] Lauren ML,Janet EH,David A.Postpartum education for contraception: A systematic review[J].Obstetrical and Gynecological Survey,2010,65(5):325-331.
[13] Leticia EH,Sappenfield WM, Goodman D, et al. Is effective contraceptive use conceived prenataly in Florida? The association between prenatal contraceptive counseling and postpartum contraceptive use[J]. Matern Child Health J, 2012, 16(2):423-429.
[14] Duong DA, Lee AH , Binns CW .Contraception within six-month postpartum in rural Vietnam: implications on family planning and maternity services[J].The European Journal of Contraception and Reproductive Health Care June ,2005,10(2):111-118.
[15] 姜莹,葛璐,车浩流,等.孕期心理健康状况调查及相关因素分析[J].中国全科医学,2016,19(21):2528-2534.
[16] 陈思羽,赵桂萍,戴小红,等.产后妇女避孕节育知识及避孕应用调查[J]. 中国妇幼保健,2012,27(11): 5126 -5128.
[17] 吴汉霞, 朱树香, 石淑华,等.流动人口未婚女性避孕知识的认知调查[J] .护理研究, 2006 , 20(9B):2375-2376.
[18] 李晶. 产后妇女对产后避孕的认识与态度调查[J]. 中国计划生育学杂志,2014,22(9):594-597.
[2] King JC. The risk of maternal nutritional depletion and poor out- comes increases in early or closely spaced pregnancies[J].J N utr, 2003, 133(Suppl 2):1732-1736.
[3] DaVanzo J, Hale L, Razaque A, et al. Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bang ladesh[J].BJOG,2007,114(9):1079-1087.
[4] 吴尚纯,楚光华. 产后避孕的国内外指南[J]. 中国计划生育和妇产科,2012,4(6):11-17.
[5] 周萍,吴美样,侯林霞,等.产妇产后避孕的应用状况调查[J].广东医学,2018,39(S1):181-184.
[6] 杨秋英,陶建国,武俊青,等.孕妇产后的避孕意愿及其影响因素[J].生殖与避孕,2000,(2):105-111.
[7] HellerR,CameronS,BriggsR,et al. Postpartumcontraception: a missed opportunity to prevent unintended pregnancy and short interpregnancy intervals[J]. J Fam Plann Reprod Health Care, 2016,42(2): 93-98.
[8] 方芳,刘春兰.产后1年内意外妊娠妇女避孕状况调查[J].中国妇产科临床杂志,2013,14(6):487-489.
[9] Che Y, Cleland J. Unintended pregnancy among newly maried couples in Shanghai[J] Int Family Plan Perspect,2004,30:6-11.
[10] 沈洁,高丽丽,潘迎.北京市剖宫产育龄妇女产后避孕意愿分析[J].中国工程科学,2014,16(5):16-19.
[11] Lopez LM, Hiller JE, Grimes DA, et al. Education for contraceptive use by women after childbirth[J/OL]. Cochrane Database Syst Rev, 2015(7): CD001863.
[12] Lauren ML,Janet EH,David A.Postpartum education for contraception: A systematic review[J].Obstetrical and Gynecological Survey,2010,65(5):325-331.
[13] Leticia EH,Sappenfield WM, Goodman D, et al. Is effective contraceptive use conceived prenataly in Florida? The association between prenatal contraceptive counseling and postpartum contraceptive use[J]. Matern Child Health J, 2012, 16(2):423-429.
[14] Duong DA, Lee AH , Binns CW .Contraception within six-month postpartum in rural Vietnam: implications on family planning and maternity services[J].The European Journal of Contraception and Reproductive Health Care June ,2005,10(2):111-118.
[15] 姜莹,葛璐,车浩流,等.孕期心理健康状况调查及相关因素分析[J].中国全科医学,2016,19(21):2528-2534.
[16] 陈思羽,赵桂萍,戴小红,等.产后妇女避孕节育知识及避孕应用调查[J]. 中国妇幼保健,2012,27(11): 5126 -5128.
[17] 吴汉霞, 朱树香, 石淑华,等.流动人口未婚女性避孕知识的认知调查[J] .护理研究, 2006 , 20(9B):2375-2376.
[18] 李晶. 产后妇女对产后避孕的认识与态度调查[J]. 中国计划生育学杂志,2014,22(9):594-597.