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| Effect of knowledge-attitude-practice health education model for preventing the postpartum unwanted pregnancy of women |
| 1.Guangxi Zhuang Autonomous Region Maternal and Child Health Care Hospital, Nanning, Guangxi Zhuang Autonomous Region, 530002; 2.Yulin Maternal and Child Health Care Hospital, Yulin, Guangxi Zhuang Autonomous Region; 3.Fangchenggang Maternal and Child Health Care Hospital, Guangxi Zhuang Autonomous Region; 4.Dongxing Maternal and Child Health Care Hospital, Guangxi Zhuang Autonomous Region |
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Abstract To explore the effect of knowledge-attitude-practice(KAP) health education model for preventing the postpartum unwanted pregnancy of women. Methods: A total of 1500 pregnant women who gave birth in the hospital were selected as the research objects from July 2020 to July 2022. These women were divided into intervention group and control group according to the principle of voluntary requirements, with 750 cases in each group. The women in the two groups were given routine postpartum health education in the hospital, while the women in the intervention group were given postpartum contraceptive consultation and contraceptive education based on the KAP health education model additionally. The follow-up of the women in the two groups was conducted in postpartum 42 days, in 3, 6 and 12 months after delivery to obtain the situations of the recovery of sexual intercourse, the contraception, and the unwanted pregnancy and its induced abortion of the women. The contraceptive knowledge, the health behavior assessed by health-promoting lifestyle profile-II(HPLP-II) and the satisfaction with postpartum services of the women were compared between the two groups. Results: After eliminating the women with lost to follow-up, there were 731 women in the intervention group and 718 women in the control group for analysis eventually. After the health education, the postpartum contraceptive knowledge score and the HPLP-Ⅱ total score of the women in the intervention group were significantly higher than those of the women in the control group(P<0.05). The recovery rates of sexual intercourse of the women in the intervention group on the 42th d, and in postpartum 3 and 6 months were significantly lower than those of the women in the control group. The postpartum contraceptive rate of the women in the intervention group was significantly higher than that of the women in the control group(all P<0.05). The rates of unwanted pregnancy(3.3%) and the induced abortion(1.8%) of the women in the intervention group in the 12 months were significantly lower than those(8.5% and 5.4%) of the women in the control group(all P<0.05). The postpartum service satisfaction of the women in the intervention group was significantly higher than that of the women in the control group the control group(P<0.05). Conclusion: The propaganda and education of contraceptive knowledge based on KAP health model of the postpartum women can improve their mastery of contraceptive and their postpartum contraceptive rate, and reduce their unwanted pregnancy and abortion rates within 1 year after delivery.
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