多学科联合多维度产后避孕服务模式的构建与应用

Construction and application of multi-disciplinary and multi-dimensional postpartum contraceptive service model

目的探讨多学科联合多维度产后避孕服务模式的建立及实践效果,为形成适宜医疗机构应用的产后避孕服务模式提供参考,保护女性生殖健康和生育力。方法采用非同期对照临床试验设计,便利选取该院2021年6-8月定期产检的育龄妇女1200例作为试验组,将2021年3-5月定期产检的育龄妇女1200例作为对照组。试验组采用多学科联合多维度产后避孕服务模式在妇女孕晚期及分娩期,产后42 d,产后6、12个月进行产后避孕知识宣教、避孕措施落实和随访,产后避孕服务档案信息多学科互通互享管理;对照组采用常规产后避孕服务方法。干预完成后对2组妇女产后避孕知识知晓情况及格率、性生活恢复时间、产后避孕启动时间、产后1年内持续规范避孕率、产后1年非意愿妊娠率、产后1年人工流产率、产后1年内采取避孕方法等进行统计分析。结果试验组妇女产后避孕知识知晓情况及格率、性生活恢复时间、产后避孕启动时间、产后1年内持续规范避孕率、产后1年非意愿妊娠率、产后1年人工流产率、产后1年内采取避孕方法等明显优于对照组,差异均有统计学意义(P<0.01)。结论采用多学科联合多维度产后避孕服务模式,利于提高育龄妇女产后避孕知识知晓率与避孕意识、落实长期高效避孕措施,降低产后1年内非意愿妊娠率、高危流产率等。

Objective To explore the establishment and practical effect of multi-disciplinary and multi-dimensional postpartum contraceptive service model,so as to provide reference for the formation of postpartum contraceptive service model suitable for medical institutions,and protect female reproductive health and fertility.Methods A total of 1200 women of childbearing age who received regular check-up,delivery and postpartum care in the hospital from June to August 2021 were selected as the observation group,and 1200 women of childbearing age who received regular check-up,delivery and postpartum care in the hospital from March to May 2021 were selected as the control group.The observation group adopted the multi-disciplinary and multi-dimensional postpartum contraceptive service model to carry out postpartum contraceptive knowledge education,contraceptive measures implementation and follow-up during the third trimester of pregnancy,postpartum 42 days,postpartum 6 months and postpartum 12 months.The information of postpartum contraceptive service archives was shared and managed by various disciplines.The control group adopted routine postpartum contraceptive service.After the completion of the intervention,the passing rate of the knowledge of postpartum contraception,the recovery time of sexual life,the start time of postpartum contraception,the continuous standardized contraceptive rate within one year after the postpartum,the rate of unwanted pregnancy one year after the postpartum,the rate of induced abortion one year after the postpartum,and the use of contraceptive methods within one year after the postpartum were statistically analyzed.Results The passing rate of the knowledge of postpartum contraception,the recovery time of sexual life,the start time of postpartum contraception,the continuous standardized contraceptive rate within one year after the postpartum,the rate of unwanted pregnancy one year after the postpartum,the rate of induced abortion one year after the postpartum,and the use of contraceptive methods within one year after the postpartum in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.01).Conclusion The adoption of multi-disciplinary and multi-dimensional postpartum contraceptive service mode is conducive to improving the knowledge rate of postpartum contraceptive among women of childbearing age,enhancing contraceptive awareness,implementing long-term and efficient contraceptive measures,and reducing the rate of unwanted pregnancy and high-risk abortion within one year after delivery.