Factors Associated With Contraceptive Initiation and Use Among Women Who Have Given Birth in the Last Year: Findings From the 2023 Women's Reproductive Health Survey

IF 4.3 1区医学 Q1 OBSTETRICS & GYNECOLOGY

Bjog-An International Journal of Obstetrics and Gynaecology Pub Date : 2025-07-09 DOI:10.1111/1471-0528.18264

Catherine Stewart, Amy Hough, Melissa J. Palmer, Ona McCarthy, Rebecca S. French, Neha Pathak

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引用次数: 0

Abstract

Objective

This study investigates contraceptive use among individuals who have recently given birth. It aims to identify factors associated with contraceptive use at two months and one-year of giving birth. Additionally, it assesses whether receiving and being satisfied with contraceptive counselling influences contraceptive use.

Design

Cross-sectional analysis of data from the 2023 Women's Reproductive Health Survey.

Setting

England.

Population

Participants who had given birth in the last year (n = 2044).

Methods

Bivariate and multivariable logistic regressions examined factors associated with contraceptive use.

Main Outcome Measures

Contraceptive initiation within two months of giving birth. Contraceptive use within one year of giving birth.

Results

Overall, 73% (n = 1489/2044) of participants were using contraception, however 58% (n = 1154/1998) had not initiated use within two months of giving birth. Bivariate analyses indicated that younger participants, those who received counselling, and those satisfied with it had higher odds of initiating contraception within two months. Similarly, younger individuals, those not desiring more children, and those who received counselling had higher odds of using contraception within one year. Multivariable analysis showed that receiving counselling and being satisfied with it were significantly associated with early initiation.

Conclusions

This study highlights the need for high-quality contraceptive counselling as part of maternity care. Counselling during or immediately after pregnancy was shown to impact contraceptive initiation and use. Policy improvements and further research on achieving universal high-quality counselling are important to ensure equitable access to contraception.

Abstract Image

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去年分娩妇女开始和使用避孕药具的相关因素：来自2023年妇女生殖健康调查的结果

目的调查新近分娩妇女的避孕药具使用情况。它旨在确定与分娩后两个月和一年内使用避孕药具有关的因素。此外，它还评估接受和满意避孕咨询是否会影响避孕药具的使用。设计对2023年妇女生殖健康调查数据进行横断面分析。settingengland . population去年分娩的参与者（n = 2044）。方法采用双变量和多变量logistic回归分析避孕药具使用的相关因素。主要结局指标：分娩2个月内开始避孕。产后一年内使用避孕药具。结果总体而言，73% （n = 1489/2044）的参与者使用了避孕措施，但58% （n = 1154/1998）的参与者在分娩后两个月内没有开始使用避孕措施。双变量分析表明，年轻的参与者、接受咨询的参与者和对咨询满意的参与者在两个月内开始避孕的几率更高。同样，年轻人、不想要更多孩子的人和接受过咨询的人在一年内使用避孕措施的几率更高。多变量分析显示，接受心理咨询并对其满意与早期启蒙有显著相关。结论：本研究强调了将高质量避孕咨询作为产科护理的一部分的必要性。研究表明，怀孕期间或怀孕后立即咨询对避孕措施的开始和使用有影响。改善政策和进一步研究实现普遍的高质量咨询对于确保公平获得避孕措施非常重要。

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

Bjog-An International Journal of Obstetrics and Gynaecology 医学-妇产科学

CiteScore

10.90

自引率

5.20%

发文量

345

审稿时长

3-6 weeks

期刊介绍： BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.