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目的探讨计划生育服务对产后避孕依从性和成功率的影响。方法选取556名产后女性为研究对象,随机分为干预组和对照组,每组278名。对照组实施常规产后保健,干预组在产后保健的同时进行计划生育服务。比较2组避孕知识、依从性、非意愿妊娠率和人工流产率。结果干预组知道常用避孕方法、避孕药种类、女性受孕必备条件、避孕药不良反应、避孕套保管注意事项、性行为中正确使用安全套方法、紧急避孕药服用次数、知道女用避孕套、人工流产的危害等避孕知识均明显高于对照组(P<0.05或<0.01);干预组6个月内采取各种避孕措施避孕率明显高于对照组(P<0.01);干预组12个月非意愿妊娠率、人工流产率明显低于对照组(P<0.01)。结论计划生育服务有助于提高产后女性避孕知识及避孕依从性,降低非意愿妊娠率和人工流产率,促进女性生殖健康。
Objective To explore the impact of family planning services on postpartum contraception compliance and success rate. Methods 556 postpartum women were selected as study subjects and randomly divided into intervention group and control group, with 278 in each group. The control group implemented routine postpartum care, while the intervention group carried out family planning services at the same time as postpartum care. Contrast 2 contraceptive knowledge, compliance, unwanted pregnancy rates and abortion rates. Results The intervention group knew about common contraceptive methods, types of contraceptives, preconditions for female conception, adverse reactions of contraceptives, precautions for keeping condoms, methods for using condoms correctly in sexual activities, number of taking emergency contraception, knowing condoms for women, artificial (P0.05 or P0.01) .In the intervention group, the contraceptive rate of all kinds of contraceptive measures within 6 months was significantly higher than that of the control group (P0.01) .In the intervention group, the contraceptive knowledge was significantly higher than that of the control group (P0.05 or P0.01) Unplanned pregnancy rates and abortion rates were significantly lower than those in the control group (P <0.01). Conclusion Family planning services can help improve postpartum female contraceptive knowledge and contraceptive compliance, reduce unwanted pregnancy rates and induced abortion rates, and promote female reproductive health.