2014, Volume 16, Issue 5
Strategic Study of CAE >> 2014, Volume 16, Issue 5
Contraceptive willingness of women after cesarean section in Beijing
Beijing Obstetrics and Gynecology Hospital，Capital Medical University Beijing Maternal and Child Health Care Hospital，Beijing 100026，China
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Abstract
To learn the contraceptive willingness and it’s affecting factors among women after cesarean section in Beijing. Stratified cluster sampling and randomized data collection by questionnaires of women after cesarean section from July 2011 to December 2011 in various areas in Beijing and data analyzed by Chi-squared test and Logistic Regression. The results show that the average age of the target women was (31±4.53) years old. The median of the women’s planning intercourse after cesarean section was 7 weeks. 96.43 % of the women were unaware of the methods for postnatal contraception. Only 27.74 % of them will take contraception as soon as possible after cesarean section and 75.27 % of them preferred condom. 72.25 % of the women had no plan for contraception or will take contraceptive methods until 3 months after cesarean section. 62.64 % of the women received postnatal contraceptive counseling，condom ranked the first among the methods recommended by the doctors. The protecting factors for women take contraception as soon as possible after cesarean section were that the doctors emphasize the importance of postnatal contraception and women aware of postnatal contraception. Unmet needs of postnatal contraception were high among the target women. They hoped to get professional counseling during antenatal care or postnatal home visits. There are risks of pregnancy after cesarean section. More attention should be paid for contraception implementation as soon as possible after cesarean section. It is suggested that postnatal contraceptive services should be carried out to explore the service model in Beijing and to meet the unmet needs to reduce unwanted pregnancy after cesarean section which will be helpful to decrease the risk of induced abortion after cesarean section.
Keywords
bearing-aged women ; after cesarean section ; postnatal services ; contraception
References
[ 1 ] Rotas M A，Haberman S，Levgur M. Cesarean scar ectopic pregnancies [J]. Obstet Gynecol，2006，107（6）：1373-1381. link1
[ 2 ] 金 力. 产后避孕的必要性及知情选择[J]. 中国计划生育和妇 产科，2012，4（6）：16-18. link1
[ 3 ] 左文莉. 剖宫产后再次妊娠的风险及其避孕方法选择[J]. 中国 计划生育学杂志，2011，19（4）：250-254. link1
[ 4 ] 罗静雯，常 青. 产后避孕的研究进展[J]. 中华妇幼临床医学杂 志（电子版），2013，9（3）：400-405. link1
[ 5 ] 刘春兰，魏丽惠. 倡导产后避孕，促进母婴健康[J]. 中国妇产科 临床杂志，2013，14（6）：481-483. link1
[ 6 ] Department of Reproductive Health，World Health Organization. Medical Eligibility Criteria for Contraceptive Use [M]. 4th ed， WHO Press，Geneva，Swisserland，2009.
[ 7 ] 侯自红，吴尚纯，顾向应. 产后和流产后使用长效可逆避孕方法 的技术指南[J]. 国际生殖健康/计划生育杂志，2013，32（4）： 267-269. link1
[ 8 ] lsley M M，Edelman A. Contraceptive implants：An overview and update [J]. Obstet Gynecol Clin North Am，2007，34（1）：73-90. link1
[ 9 ] King J. Contraception and lactation [J]. J Midwifery Women’s Health，2007，52（6）：614-620. link1
[10] Eroglu K，Akkuzu G，Vural G，et a1．Comparison of efficacy and complications of IUD insertion in immediate postplacental/ early postpartum period with interval period：1- year follow-up [J]. Contraception，2006，74（5）：376-381. link1
[11] Aktuil H，Moroy P，Cakmak P，et a1. Depo- Provera：Use of a long- acting progestin injectable contraceptive in Turkish women [J]. Contraception，2005，72（1）：24-27. link1
[12] 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. link1
[13] 黄咏梅，程利南. 产后避孕服务的研究进展[J]. 中国妇幼健康 研究，2008，19（2）：157-159. link1
[14] 陆 珺，何 萍，康建中，等. 联合干预对妇女产后避孕的效果 评价[J]. 上海预防医学，2013，25（9）：523-524. link1
[15] 黄咏梅，康建中，陈瑞珠. 上海市城区产后妇女避孕节育状况 及服务需求的调查[J]. 中国计划生育学杂志，2007，7（141）： 414-416. link1
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