医院开展产后避孕宣教对流动人口产后意外妊娠的影响  

The impact of the postpartum contraceptive education on the unintended pregnancy after delivery for floating females

作　　者：叶明 黄柳 程曦 黄洁贞 杨金英 

机构地区：[1]广州市妇女儿童医疗中心珠江新城院区妇科,510623

出　　处：《广州医药》2013年第3期62-65,共4页Guangzhou Medical Journal

基　　金：广东省人口和计划生育委员会科研项目(2010236)

摘　　要：目的研究产后避孕宣教对流动人口产后意外妊娠的影响,探索流动人口避孕宣教模式。方法将流动人口产妇随机分为实验组和对照组,实验组在产42天由专业人员进行避孕宣教,两组均在产后3月、6月、9月、12月和15月随访收集数据。结果实验组和对照组在年龄、丈夫年龄、受教育程度、孕次、产次、分娩方式、本次妊娠前避孕情况和流产情况无差异,研究对象产后平均月经恢复时间为4.63个月,平均恢复性生活时间为4.87个月,平均开始避孕时间为5.28个月。实验组避孕措施使用率高于对照组(93.83%vs 88.99%,P<0.001),宫内节育器使用率高于对照组(20.34%vs 15.60%,P=0.010),实验组产后1年意外妊娠发生率低于对照组(5.84%vs 9.33%,P=0.005)。结论接受医院提供的产后42天避孕宣教,能促进流动人口落实产后避孕措施,减少意外妊娠。Objective To study the impact of the postpartum contraceptive education on the unintended pregnancy after delivery for floating females to explore the model of the postpartum contraceptive education for floating females. Methods The postpartum floating females were divided into the experimental group and the control group randomly, and the experimental group were interviewed and educated by the trained investigators with a questionnaire, both of the groups were followed for data acquisi- tions for about 3 months, 6 months, 9 months, 12 months and 15 months after delivery. Results There were no significant difference between both groups in their ages, their husbands＇ ages, educational status, gravidities, parities, parturition pat- terns, contraception conditions and abortions before pregnancy. The average time of the recovery menstruation were 4.63 months. The average time of the recovery sexual behaviors were 4. 87 months, and the average time of the contraception practicewere 5.28 months. The rate to use contraceptives in the experimental group was significantly higher than the control group （93.83% vs 88. 99%, P 〈0. 001 ） . The rate to use intrauterine device was higher （93.83% vs 88. 99%, P 〈0. 001 ） and the rate of the unintended pregnancy after delivery was lower （ 5.84% vs 9. 33%, P = O. 005 ） in the experimental group. Conclusion It was hopeful for floating females to accept postpartum contraceptive education in the postnatal 42-days outpatient department in hospital, which was workable for the contraception practice after delivery and reducing the unintended pregnancy after delivery.

关 键 词：产后意外妊娠 流动人口 产后避孕 

分 类 号：R473.71[医药卫生—护理学]