城市孕晚期妇女避孕知识、态度及产后避孕意愿研究

Study of the postpartum knowledge and attitude of contraception,and the postpartum contraceptive intention of the pregnant women during the third trimester pregnancy

目的:了解孕晚期妇女避孕知识、态度以及产后避孕措施使用意愿,为产后避孕宣教提供依据。方法:以2021年3-5月在上海市长宁区妇幼保健院住院且>36孕周的妇女作为研究对象,通过线上问卷进行调查。问卷内容包括一般人口学特征、孕产史、流产史、避孕知识、避孕态度、产后避孕措施使用意愿等。结果:共调查819人,产后避孕知识得分58.6(48.6,67.9)分,长效可逆避孕措施知识得分40.0(24.0,60.0)分,产后避孕态度得分93.3(80.0,100.0)分。产后避孕措施使用意愿最高的是避孕套(97.1%),其次为体外排精法(15.5%)。结论:孕晚期妇女避孕知识不足,对于产后避孕认识仍存一定误区,特别是对长效可逆避孕措施的认知缺乏,需要进一步完善产后避孕保健政策及措施。

Objective: To understand the postpartum knowledge and attitude of contraception, and the postpartum contraceptive intention of the pregnant women during the third trimester pregnancy, and to provide evidences for postpartum contraceptive education. Methods: The pregnant women during more than 36 gestational weeks were selected as research subjects from March to May 2021. The survey is conducted online by questionnaire. The questionnaire included demographic characteristic, history of pregnancy and miscarriage, contraceptive knowledge and attitude, intention of postpartum contraception, etc. Results: A total of 819 women were investigated. The average scores of postpartum contraceptive knowledge, long-acting reversible contraception(LARC), and attitudes to postpartum contraception were 58.6 points(48.6-67.9 points), 40.0 points(24.0-60.0 points), and 93.3 points(80.0-100.0 points), respectively. The postpartum willingness of condoms used was the highest(97.1%), followed by that(15.5%) of external ejaculation. Conclusion: In Changning district, the women during the third trimester of pregnancy lack contraceptive knowledge and misunderstand contraception, especially for LARC. Further improvement of the postpartum contraceptive health care policy and measures is needed.