Does prolonged postpartum insusceptibility undercut the impact of postpartum family planning programming in Sub-Saharan Africa?

IF 3.4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Reproductive Health Pub Date : 2025-07-22 DOI:10.1186/s12978-025-02056-4

Sarah Eustis-Guthrie, Benjamin Williamson, Iqbal Shah

引用次数: 0

Abstract

Integrating family planning into postpartum care at health facilities is a well-regarded health intervention recommended by major organizations in the sexual and reproductive health space. However, several recent studies have found limited to no effects on rates of short-spaced pregnancies associated with these interventions. This paper will investigate the role of prolonged postpartum insusceptibility to pregnancy due to abstinence and breastfeeding alongside other factors in reducing the impact of increased postpartum contraceptive use, ultimately concluding that these factors may substantially reduce the efficacy of postpartum family planning programming at reducing unintended short-spaced pregnancies.

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在撒哈拉以南非洲，长期的产后不敏感是否削弱了产后计划生育规划的影响？

将计划生育纳入保健设施的产后护理是性健康和生殖健康领域主要组织推荐的一项备受推崇的保健干预措施。然而，最近的几项研究发现，这些干预措施对短间隔怀孕率的影响有限或没有影响。本文将探讨由于节欲和母乳喂养导致的产后对怀孕的长期不敏感以及其他因素在减少产后避孕药使用增加的影响中的作用，最终得出结论，这些因素可能会大大降低产后计划生育计划在减少意外短间隔怀孕方面的效果。

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

Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.00

自引率

5.90%

发文量

220

审稿时长

>12 weeks

期刊介绍： Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.