孕期至产后干预对产后意外妊娠影响

发布时间：2018-09-01 14:04

【摘要】：目的分析从孕期至产后开展综合干预对产后避孕知识及意外妊娠的影响。方法于2011年7月—2012年7月对上海市浦东新区妇幼保健院和普陀区妇婴保健院3 542名孕产妇进行干预,按医院分为干预组和对照组,采取结构式问卷进行调查。结果产后开始避孕时间、产后恢复性生活时间和排卵期计算方法相关知识,对照组回答正确人数分别为364人(45.50%)、622人(77.75%)和374人(46.75%),干预组分别为1 905人(69.47%)、2 504人(91.32%)和1 152人(42.01%);不同避孕方法中,产后意外妊娠103人(3.09%),对照组为35人(4.57%),干预组为68人(2.65%);2组导致产后意外妊娠发生比例最高的分别为口服避孕药和紧急避孕药,其次分别为安全期和体外排精避孕;多因素分析结果显示,干预组产后意外妊娠发生比例较对照组降低45%,文化程度、产后恢复性生活时间与避孕时间的交互作用对产后意外妊娠有影响。结论以医院为基础的综合干预可有效降低产后意外妊娠发生的可能性。
[Abstract]:Objective to analyze the effect of comprehensive intervention from pregnancy to postpartum on postpartum contraceptive knowledge and accidental pregnancy. Methods from July 2011 to July 2012, 3 542 pregnant and lying-in women in Shanghai Pudong New District Maternal and Child Health Hospital and Putuo District Maternal and Infant Health Hospital were divided into intervention group and control group, and were investigated with structured questionnaire. Results the time of birth control, the time of postpartum sexual life recovery and the calculation method of ovulation were related knowledge. The correct answers in the control group were 364 (45.50%), 622 (77.75%) and 374 (46.75%), respectively, while in the intervention group, there were 1,905 (69.47%), 2 504 (91.32%) and 1 152 (42.01%), respectively. There were 103 cases (3.09%) of postpartum accidental pregnancy, 35 cases (4.57%) of control group, 68 cases (2.65%) of intervention group and 68 cases (2.65%) of intervention group, which resulted in oral contraceptive and emergency contraceptive respectively, followed by safe period and in vitro spermatogenic contraception. The results of multivariate analysis showed that the proportion of postpartum accidental pregnancy in the intervention group was lower than that in the control group by 45%, and the education level, the interaction between the time of postpartum recovery of sexual life and the time of contraception had an effect on the postpartum accidental pregnancy. Conclusion Hospital-based comprehensive intervention can effectively reduce the possibility of postpartum accidental pregnancy.
【作者单位】：上海复旦大学计划生育科学研究所国家人口和计划生育委员会计划生育药具重点实验室;上海市浦东新区妇幼保健院;上海市普陀区妇婴保健院;
【基金】：上海市局管科技发展基金(2011JG05)
【分类号】：R715.3

【参考文献】