Contraceptive intervention and effect evaluation for perinatal and postpartum women
Objective:To explore the status and effect of the contraceptive intervention in Guanzhong,Southern and Northern of Shaanxi province.Methods:The pregnant women who had accepted the regular antenatal care and wanted delivery in the selected hospitals from January 1,2021 to June 1,2021 were selected as the research objects.2612 women in the control group received the routine postpartum health care and contraceptive guidance,and 2701 women in the observation group were given the guidance about postpartum health care and contraceptive during pregnancy,hos-pital delivery and at discharge additionally.In 0-3 months,4-6 months,7-9 months and 10-2 months after discharge,these women were visited and filled the self-designed questionnaires.And the questionnaires were analyzed.Results:The postpartum contraceptive rate and the cumulative contraceptive rate of the women in the observation group in the different periods were significantly higher than those of the women in the control group(P＜0.05).In 1 year after de-livery,the contraceptive rate(97.0％)of the women in the observation group was significantly higher than that(73.7％)of the women in the control group.The cumulative contraceptive rate(90.6％)of the women in the observa-tion group was significantly higher than that(65.7％)of the women in the control group.The rate of intrauterine de-vice used(25.9％)of the women in the observation group was significantly higher than that(1.2％)of the women in the control group(all P＜0.05).The unplanned pregnancy rate(0.5％)of the women in the observation group was significantly lower than that(1.0％)of the women in the control group(P＜0.05).Conclusion:The comprehensive contraceptive education during pregnancy,perinatal and postpartum household visits for the women can effectively im-prove their postpartum awareness of contraception and postpartum contraceptive rate,and can reduce their unplanned pregnancy rate.
PuerperaPostpartum contraceptionIntervention and effect evaluation
万方数据
维普
