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云南保山地区利用产后 42 d母婴保健时 ,对足月活产妇女 2 47例 (干预组 )自 42 d开始及早提供避孕方法知情选择、避孕节育全程服务和提高对生殖健康认识的计划生育优质服务 ,观察避孕措施预防产后意外妊娠的效果 ,并与对照组 6 5例比较。结果 :干预组、对照组避孕率分别为 96 .7%、 5 6 .9% ,妊娠率为 1.6 %、 2 1.5 % ,经 χ2检验 ,两组间差异有非常显著意义 (P<0 .0 0 1)。提示 :产后 42 d初访时是提供避孕宣传咨询的良好时机 ,及早对产后妇女实行以知情为目标和避孕节育全程的优质服务 ,将会使妇女自觉地、知情地实行计划生育 ,提高避孕方法的可接受性和避孕效果 ,从而减少意外妊娠 ,提高妇女生殖健康水平。
In the Baoshan area of Yunnan province, 427 women of full-time live births (intervention group) were given 42-day postpartum maternal and child health services early since the 42nd day to provide informed choice of contraceptive methods, full-term contraceptive services and better reproductive health awareness of family planning Service, observing the effect of contraception in preventing postpartum unwanted pregnancy, compared with 65 cases in the control group. Results: The contraceptive rates in intervention group and control group were 96.7% and 56.9% respectively, the pregnancy rates were 1.6% and 2.5% respectively. There was significant difference between the two groups by χ2 test (P <0. 0 0 1). Tip: The first visit after 42 days of postpartum is a good time to provide counseling on contraceptives. Early implementation of goodwill-oriented and contraceptive services for postpartum women will enable women to consciously and informedly implement family planning and improve contraceptive methods Acceptability and contraceptive effectiveness, thus reducing unwanted pregnancies and improving women’s reproductive health.