Effect of Antenatal Counseling on Postpartum Family Planning among Women Attending Family Medicine Units in 6th of October City

kholoud Abd El-Aziz, M. Gaafary, D. Sos, G. Wassif
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Abstract

Background: Antenatal counseling provides an important opportunity to improve maternal understanding of postpartum family planning and good opportunity to make an appropriate choice of postpartum family planning method.  Objectives:  To measure the degree of satisfaction from antenatal family planning counseling and to identify its relation to PPFP adoption among women attending family medicine centers in 6th October city. Methods: A Cross sectional study was conducted on 384 married women in reproductive age attending three randomly selected family medicine centers. They should be healthymarried women in reproductive age and having at least one living child not less than one-yearold.Women with history of primary or secondary infertility and repeated abortion were excluded. Data were collected through an interview questionnaire including socio-demographic data and reproductive history, family planning method used in the postpartum period, for her at least one year old child and antenatal counseling about post-postpartum family planning done in her pregnancy in her previous one year old child. Proper postpartum family planning is defined as use of contraception within 40 days after delivery with continuation for at least one year after delivery of the last child. Results: There is statistically significant relationship between antenatal counseling service provision and use of PPFP methods among studied women P<0.05, and found that family health center number (1) had the highest preformation regarding antenatal counseling services provision (75.4%), antenatal counseling sessions regarding PPFP mentioned by (67.7%), two thirds of studied women (65.0%) were satisfied regarding antenatal counseling session and doctors providing the counseling as mentioned by 40.8% of participating women. Conclusion: There is a statistically significant relationship between adequate antenatal family planning counseling and use of PPFP methods.
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10月6日市家庭医学门诊就诊妇女产前咨询对产后计划生育的影响
背景:产前咨询为提高产妇对产后计划生育的认识提供了重要契机,为合理选择产后计划生育方式提供了良好契机。目的:了解在10月6日市家庭医学中心就诊的妇女对产前计划生育咨询的满意度及其与PPFP采用的关系。方法:采用横断面研究方法,随机抽取3家家庭医学中心384名已婚育龄妇女。应当是已婚育龄健康妇女,至少有一个未满一岁的活子女。排除有原发性或继发性不孕症和多次流产史的妇女。通过访谈问卷收集资料,包括社会人口统计资料、生育史、产后1岁以上子女的计划生育方法、前1岁子女怀孕期间的产后计划生育产前咨询。适当的产后计划生育定义为在分娩后40天内使用避孕措施,并在分娩最后一个孩子后至少持续一年。结果:产前咨询服务的提供与PPFP方法的使用有统计学意义(P<0.05),并且发现家庭保健中心(1)对产前咨询服务提供的预知率最高(75.4%),提到PPFP的产前咨询次数最多(67.7%);三分之二(65.0%)的受访女性对产前咨询服务和提供咨询服务的医生感到满意(40.8%)。结论:充分的产前计划生育咨询与PPFP方法的使用有统计学意义。
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