Demands and utilization of contraceptive services in women during the first 12 months after delivery: a cross sectional survey in urban areas of Shanghai
10.3760/cma.j.cn101441-20200309-00113
- VernacularTitle:上海市中心城区产后妇女避孕需求及产后避孕服务利用调查
- Author:
Bingying LI
1
;
Li DU
;
Pengfei LIANG
;
Jian WANG
;
Hua PENG
;
Weili JIANG
;
Liping ZHU
;
Biao XU
Author Information
1. 复旦大学公共卫生学院流行病学教研室 国家卫生健康委员会卫生技术评估重点实验室，上海 200032
- Publication Type:Journal Article
- Keywords:
Postpartum women;
Postpartum contraception;
Health service;
Demand
- From:
Chinese Journal of Reproduction and Contraception
2021;41(2):137-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the use of contraceptives among postpartum women in the urban areas of Shanghai and to understand women's demands and utilization of contraceptive service.Methods:A cross-sectional survey was conducted using questionnaires in postpartum women in the clinics for 42-day postpartum follow-up and child health care in 4 districts in Shanghai (including Changning District, Jingan District, Putuo District and Yangpu District) from August 2019 to December 2019. Data were analyzed using frequency description and logistic regression.Results:In total, 1170 postpartum women were enrolled. Among them, 420 women resumed sexual intercourse at an average length of (3.6±1.5) months postpartum and the proportions of consistent contraceptive use were 69.4%(43/62), 77.2% (186/241), 79.2% (57/72) and 71.1% (32/45), at periods of 1 to 3 months, 4 to 6 months, 7 to 9 months and 10 to 12 months after delivery respectively. Planned pregnancy, willingness to reproduce, and postpartum contraceptive guidance were associated with contraceptive behavior. Condom was the main approach used by postpartum women, while long-acting reversible contraceptive method was seldom used. The proportion of receiving guidance on contraception during postpartum home visits and 42-day postpartum follow-up were 43.3% (395/913) and 34.6% (369/1067) respectively. Totally, 37.6% (420/1117) of the total considered that the best time for contraceptive health education was at the 42-day postpartum follow-up, while 30.5% (341/1117) of them preferred health education during pregnancy.Conclusion:About one-quarter of postpartum women do not adhere to contraception in the urban areas of Shanghai. The proportion of using long-acting reversible contraceptive methods, such as intrauterine devices and subcutaneous, remains low. It is necessary to strengthen postpartum contraceptive services, to provide professional training, and strengthen guidance on the proper selection and use of contraceptive methods, especially for long-acting contraceptive methods. Meanwhile, the guidance for contraception should be advanced during pregnancy.
