产后计划生育服务对孕妇分娩后短期内再孕率、避孕手段及儿童健康生长的影响  

Effect of postnatal family planning service on secondary pregnancy rate in a short time and contraceptive methods of pregnant women after delivery and children's health growth

作　　者：梁承蓉[1] 

机构地区：[1]荆州市第二人民医院妇产科,湖北荆州434000

出　　处：《中国妇幼保健》2016年第22期4823-4826,共4页Maternal and Child Health Care of China

摘　　要：目的探讨产后计划生育服务对孕妇分娩后短期内避孕手段、再孕率及儿童健康生长的影响。方法选取264例健康孕妇为研究对象,随机分为研究组和对照组各132例;其中研究组孕妇中途脱落10例,共122例有效病例入组,予以产后计划生育服务措施;对照组孕妇中途脱落8例,共124例有效病例入组,产后未接受计划生育服务措施。随访12个月,记录两组孕妇分娩后3个月时避孕知识得分结果,比较其分娩后1年内性生活主动避孕率、非意愿再次妊娠率、人工流产率及避孕手段差异,分析其分娩后6个月内母乳喂养情况及随访1年内新生儿生长发育状态。结果研究组孕妇分娩后3个月时避孕知识评分(19.3±2.0)分显著高于对照组孕妇(13.2±3.6)分,分娩后6个月内纯母乳喂养率80.3%显著高于对照组56.5%,差异均有统计学意义(P<0.05);分娩后1年内性生活主动避孕率及避孕套避孕率显著高于对照组,非意愿再次妊娠率、人工流产率、体外射精和安全期避孕方式避孕率及纯人工喂养率则显著低于对照组,差异均有统计学意义(P<0.05)。两组婴儿在为期1年随访中,头围、身长、体重等生长发育指标比较差异均无统计学意义(P>0.05)。结论产后计划生育服务对降低孕妇分娩后短期非意愿再次妊娠率、提高纯母乳喂养率等具有积极影响。Objective To explore the effect of postnatal family planning service on secondary pregnancy rate in a short time and contraceptive methods of pregnant women after delivery and children＇s health growth. Methods A total of 264 healthy pregnant women were se- lected and randomly divided into study group and control group, 132 women in each group. In study group, 10 pregnant women were lost to follow-up, 122 pregnant women were valid cases, then they received postnatal family planning service. In control group, 8 pregnant women were lost to follow-up, 124 pregnant women were valid cases, they didn＇t receive postnatal family planning service. The pregnant women were followed up for 12 months, the scores of contraceptive knowledge after three months of delivery in the two groups were recorded. The in- itiative contraceptive rates of sex fife within one year after delivery, unwanted secondary pregnancy rates, induced abortion rates, and contraceptive methods in the two groups were compared. Breast feeding status within 6 months after delivery and neonatal growth and development status in one-year follow-up were analyzed. Results The score of contraceptive knowledge at 3 months after delivery in study group was （ 19. 3±2. 0）, which was statistically significantly higher than that in control group （ 13. 2±3.6 ）, pure breastfeeding rate within 6 months after delivery in study group was 80. 3%, which was statistically significantly higher than that in control group （56. 5 % ） （P〈0. 05） . The initiative contraceptive rate of sex life within one year after delivery and contraceptive rate of condom in study group were statistically signifi- cantly higher than those in control group ; unwanted secondary pregnancy rate, induced abortion rate, contraceptive rates of coitus interruptus and safe period contraception, pure breastfeeding rate in study group were statistically significantly lower than those in control group （P〈 0. 05） . There was no statistically significant difference in growth and devel

关 键 词：产后计划生育服务 短期内再孕率 避孕手段 儿童生长 

分 类 号：R17[医药卫生—妇幼卫生保健]