Postpartum Long-Acting Reversible Contraception Use in Adolescent at Maharat Nakhon Ratchasima Hospital

Lalita Songsathaporn, Siraya Kitiyodom
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Abstract

Objective: To determine the intention and using of long-acting reversible contraception (LARC) in adolescents in the postpartum period. Material and Method: A prospective cohort study was conducted at Maharat Nakhon Ratchasima hospital, from June 2014 to November 2014. Postpartum adolescents under the age of 20 who willing to participate were enrolled in this study. A structured interview questionnaire was used to determine the intention of contraceptive use prior to discharge. Then, phone interviewed at 12 weeks postpartum to determine contraceptive use and reasons. Results: Three hundred and ninety eight of 456 adolescents had a documented postpartum visit at 12 weeks, giving an overall response rate of 87.3%. 336 adolescents (73.7%) intended to use LARC prior to discharge and 209 adolescents (56.9%) had used LARC within 12 weeks postpartum. The most common reason of LARC use was convenience. Injectable contraception was the most common LARC used that included 54.77% of participants. Intended birth interval and pregnancy desire were significant factor of choosing LARC at postpartum ward. Significant factors associated with using LARC at 12 weeks postpartum were intended birth interval and previous contraception. Conclusions: The intention to use LARC was 73.7% and the using rate of LARC at 12 weeks postpartum was 56.9%. Convenience was the most common reason of LARC use at 12 weeks postpartum.
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Maharat Nakhon Ratchasima医院青少年产后长效可逆避孕的应用
目的:了解青少年产后使用长效可逆避孕(LARC)的意向和使用情况。材料与方法:2014年6月至2014年11月在Maharat Nakhon Ratchasima医院进行了一项前瞻性队列研究。20岁以下的产后青少年自愿参与本研究。使用结构化访谈问卷来确定出院前使用避孕药具的意图。然后,在产后12周进行电话访谈,以确定避孕药的使用情况及其原因。结果:456名青少年中有338人在产后12周进行了有记录的随访,总有效率为87.3%。336名青少年(73.7%)在出院前打算使用LARC, 209名青少年(56.9%)在产后12周内使用了LARC。使用LARC最常见的原因是方便。注射避孕是LARC最常见的使用,包括54.77%的参与者。预期生育间隔和妊娠意愿是产后病房选择LARC的重要因素。与产后12周使用LARC相关的重要因素是预期生育间隔和既往避孕。结论:产后12周使用LARC的意向率为73.7%,LARC的使用率为56.9%。方便是产后12周使用LARC的最常见原因。
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
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