The effects of an educational intervention on women's contraceptive preferences in the immediate postpartum period: A cross-sectional study.

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Gynecology & Obstetrics Pub Date : 2024-11-16 DOI:10.1002/ijgo.16027

Elaine Meireles Castro Maia, Raquel Autran Coelho Peixoto, Cristina Aparecida Falbo Guazzelli

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引用次数: 0

Abstract

Objectives: To assess postpartum women's contraceptive preferences and the impact of an educational intervention on these preferences, identifying factors motivating method choices.

Method: This cross-sectional quantitative study included women within 48 h after delivery in a public Brazilian hospital. Participants were asked about their contraceptive preferences before and after an educational intervention, which aimed to inform women about the importance of early postpartum contraception, available methods, mechanisms of action, effectiveness, proper use, and side effects. A nursing professional explained contraceptives to postpartum women in individual sessions, demonstrating their use on simulators interactively for about 15 min. Statistical analyses were performed using JAMOVI version 2.3.28 and Microsoft Excel 2016.

Results: A total of 402 women (226 adolescents and 176 adults) were included. After the intervention, preference for long-acting reversible contraceptives (LARCs) increased significantly from 157 (39.1%) to 279 (68.7%) (P < 0.001). At the initial assessment, contraceptive preferences were injectable hormonal contraceptives (159 [39.6%]), intrauterine devices (IUDs) (109 [27.1%]), and implants (48 [11.9%]). After the educational intervention, IUDs became the most popular method, at 143 (35.6%), followed by implants (133 [33.1%]) and injectables (81 [20.1%]). Among adolescents, there was a significant increase in implant choice (P < 0.001) and a decrease in injectables and pills (P < 0.001; P = 0.006). Adults showed increased preference for implants (P < 0.001) and IUDs (P < 0.001), with a reduction in injectable hormonal contraceptives (P = 0.005) and tubal ligation (P = 0.006).

Conclusion: An educational intervention during postpartum period can influence women's contraceptive choices. Timely education was associated with a significant increase in LARC preference.

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教育干预对产后妇女避孕偏好的影响：横断面研究。

目标：评估产后妇女的避孕偏好以及教育干预对这些偏好的影响：评估产后妇女的避孕偏好以及教育干预对这些偏好的影响，确定促使她们选择避孕方法的因素：这项横断面定量研究包括巴西一家公立医院中产后 48 小时内的妇女。教育干预的目的是让妇女了解产后早期避孕的重要性、可用方法、作用机制、有效性、正确使用和副作用。一名专业护理人员以单独授课的方式向产后妇女讲解避孕药具，并在模拟器上互动演示了避孕药具的使用方法，时间约为 15 分钟。统计分析使用 JAMOVI 2.3.28 版和 Microsoft Excel 2016 进行：共纳入 402 名妇女（226 名青少年和 176 名成人）。干预后，对长效可逆避孕药具（LARCs）的偏好从 157 人（39.1%）显著增加到 279 人（68.7%）（P 结论：在产后期间采取教育干预措施，可以减少对避孕药具的偏好：产后期间的教育干预可影响妇女对避孕药具的选择。及时的教育与 LARC 首选项的显著增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gynecology & Obstetrics 医学-妇产科学

CiteScore

5.80

自引率

2.60%

发文量

493

审稿时长

3-6 weeks

期刊介绍： The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.