初产妇哺乳期避孕知识需求及避孕方法选择状况分析

Contraceptive knowledge demand and contraceptive method choice during lactation in primipara

目的：调查初产妇对哺乳期避孕知识、避孕需求态度及选择情况,探讨有效的应对措施。方法：对2013年10月～2014年7月在本院分娩的初产妇进行问卷调查,问卷内容包括产妇对避孕相关知识的回答正确率、对避孕的需求态度以及对不同避孕方法的选择情况。结果：500例初产妇对＂产后开始性生活的同时就开始避孕＂和＂防性传播疾病的避孕方式＂的回答正确率较高（分别为95.60%和90.20%）,其它各项均低于这两项（P〈0.05）;对产后避孕知识的总体需求程度较高;产后选择避孕方式最多的两项为＂安全套＂和＂宫内节育器＂,均高于其余方式（P〈0.05）。结论：初产妇普遍缺乏产后哺乳期的相关避孕知识,但对产后避孕知识的需求度较高,医护人员应该针对每位产妇的实际情况加强避孕相关知识的宣教,合理指导产妇选择有效的避孕方法,确保产妇生殖健康。

Objective：To explore the contraceptive knowledge,demand attitude and practice in primiparas during lactation in order to discuss the effective countermeasures.Methods：We conducted a questionnaire survey on 500 cases of primiparas who delivered in our hospital from October 2013 to July 2014,which included the comprehension ability of contraceptive knowledge,the attitude of demands for contraception and their choices of different contraceptive methods.Results：The accuracy rates of answers of ＂contraception while postpartum sexual life＂（95.60%）and ＂contraceptive methods with prevention of sexually transmitted diseases＂（90.20%）were higher those of other items（Pall〈 0.05）.Overall,the demand for postpartum contraceptive knowledge was high and ＂condom＂ and ＂intrauterine device＂ were the two contraceptive methods most primiparas chose,and their utilization rates were higher than those of other measures（P〈0.05）.Conclusion：Primiparas are commonly lack of the knowledge of postpartum contraceptives during lactation,which was in high demand in contrast.Providers should pay more attention to personalized propaganda and education on contraceptive knowledge,and guide women to choose proper contraceptive methods to ensure their reproductive health.