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目的:评价在上海市静安区产后妇女中进行避孕节育干预对提高产后避孕率并降低产后意外妊娠的效果。方法:对居住在静安区的产后1年内已婚妇女进行避孕服务干预,并于干预前和干预后进行问卷调查。结果:干预后0~3个月、4~6个月、7~9个月和9个月以上各时段避孕率均显著高于干预前,尤其是在有性生活的产后妇女中,产后的前6个月累积避孕率从干预前的58.9%提高到干预后的97.6%。产后1年内意外妊娠发生率为1.4%,意外妊娠主要原因为未避孕和避孕套、安全期避孕失败。结论:产后定期避孕干预能有效提高产后1年内妇女的避孕率,降低产后妇女意外妊娠率。
OBJECTIVE: To evaluate the effectiveness of contraceptive intervention in postpartum women in Jing’an District in Shanghai to improve postpartum contraception and reduce postpartum unwanted pregnancies. Methods: The married women who lived in Jing’an District within 1 year after birth were given contraceptive service interventions, and questionnaires were conducted before intervention and after intervention. Results: The contraception rates at 0 ~ 3 months, 4 ~ 6 months, 7 ~ 9 months and 9 months after intervention were significantly higher than those before intervention, especially in postpartum women with sexual life, postpartum The cumulative contraceptive rate in the first 6 months increased from 58.9% before intervention to 97.6% after intervention. The incidence of unwanted pregnancies within 1 year after delivery was 1.4%. Uncontracted and condoms were the major causes of unwanted pregnancies, and contraception failed during the safety period. Conclusion: Regular postpartum contraception can effectively increase the contraception rate of women within one year after birth and reduce the rate of unintended pregnancy among postpartum women.