|
|
|
| Survey of the causes of unwanted pregnancy among women with abortion within postpartum 1 year in a district of Shanghai |
| Minhang District Maternal and Child Health Care Hospital, Shanghai, 201102 |
|
|
|
|
Abstract To understand the contraceptive knowledge and situation of women with abortion within postpartum 1 year, to explore the causes of their unwanted pregnancy within postpartum 1 year, and to study the corresponding countermeasures of their postpartum contraceptive health care services. Methods: From July 2019 to June 2020, 290 women who underwent abortion because of unwanted abortion within postpartum 1 year in Minhang district of Shanghai were recruited for questionnaire survey on their contraceptive knowledge, postpartum contraceptive situation, acquisition situation of postpartum contraceptive knowledge, the time and causes of unwanted pregnancy within postpartum 1 year, etc. Results: The median time (M P25, P75) of postpartum menstrual recovery and sexual life recovery of these women were 3.0 (2.0, 4.0) months and 3.0 (2.0, 3.0) months, respectively. The time of postpartum sexual life of 17.9%（52/290）women was earlier than that of their menstrual recovery. The median time (M P25, P75) of the unwanted pregnancy within postpartum 1 year was 8.0 (6.0, 9.5) months, and which shortest time of one women was postpartum 2 months. The causes of postpartum unwanted pregnancy included 53.8% (156/290) women without postpartum contraception used and 46.2% (134/290) women with contraceptives failed, of which 98.5% (132/134) women with low efficient contraceptives used. 76.1% (175/230) women without contraception used or without strict contraception used were caused by contraception misunderstanding. 11.7% (34/290) women did not know how to choose contraception during postpartum lactation, and 53.5% (155/290) women did not know the contraception of lactation amenorrhea. 29.0% (84/290) women had not received postpartum contraceptive education because of the simple form and content of postpartum contraceptive education during pregnancy and childbirth. Conclusion: It is necessary to establish the postpartum contraceptive health services during the perinatal period for the women, which can help their implement postpartum contraception effectively and can ensure their reproductive health.
|
|
|
|
|
|
|
|
|
