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| Influence of the comprehensive intervention program model for women on their postpartum contraception |
| Tongzhou District Maternal and Child Health Care Hospital， Beijing, 101100 |
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Abstract To explore the influence of the comprehensive intervention program (CIP) model for women on their postpartum contraception. Methods: From January 2023 to March 2023, 1234 pregnant women who were registered in the department of obstetrics of the hospital were selected as the research subjects. According to the random number table method, these women were divided into control group (n=617) and study group (n=617). The women in the two groups had received the routine contraception guidance, and the women in the study group had received the contraceptive knowledge, one-on-one consultation and the technical guidance during delivery by the mini programs, the follow-up and the technical services additionally. The awareness rate of the contraceptive knowledge during hospitalization for delivery, the implementation rate of the long-acting contraception during delivery, the unwanted pregnancy rate and the induced abortion rate within 3 postpartum months, 6 months and 12 months, and the contraceptive used rate of the women were compared between the two groups. Results: After the intervention, the awareness rate of the contraceptive knowledge of the women in the study group was 90.4%, which was significantly higher than that (82.3%) of the women in the control group (χ2=17.226, P<0.05). The implementation rate of the effective contraception of the women in the study group was 25.1%, which was significantly higher than that (16.7%) of the women in the control group (χ2=13.251, P<0.05). After the intervention, the unwanted pregnancy rate of the women in the study group within postpartum 12 months was 2.3%, which was significantly lower than that (5.2%) of the women in the control group (χ2=7.316, P<0.05). The induced abortion rate (2.3%) within postpartum 1 year of the women in the study group was significantly lower than that (5.2%) of the women in the control group (χ2=7.316, P<0.05). After the intervention, there were no significant differences in the rates of the combined short-acting oral contraceptives used, the emergency contraceptive pills used and the ligation used of the women between the two groups (P>0.05). The rates of the condom used, the IUD used and the subcutaneous implant used of the women in the study group were significantly higher than those of the women in the control group (χ2=16.390, χ2=6.930, χ2=4.460; P<0.05). The rate of the women without contraception used in the control group was significantly higher than that in the study group (χ2=26.192, P<0.05). Conclusion: CIP model effectively improves the contraceptive knowledge level, promotes the implementation of long-acting contraceptive measures, and reduces the unwanted pregnancy rate and abortion rate within 1 year after delivery of women through systematic intervention, and which shows the good clinical application potential.
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