The Study Of Postpartum Contraception In Tianjin Area

Objective:Through analyse the questionnaire about the knowledge of postpartum contraception among obstetric medical staff and the postpartum women, to understand the postpartum contraceptive related kowledge,attitude,Practice between the obstetric medical staff and the postpartum women. to provide a scientific basis for hospital developing the service of postpartum contraception, in order to reduce the incidence of postpartum unintended pregnancy and the risk of artificial abortion.Methods:From October2013to December2013,209obstetric medical staff of11different levels of the hospital of Tianjin city and912postpartum women from General Hospital of Tianjin Medical University and permanent hospital of Tianjin had been enrolled in this study.The survey included general information and related knowledge,attitude,practice of postpartume contraception.The data were in putted and analyzed with SPSS for Windows Version17.0. Univariate using descriptive analysis calculations the rate, constituent ratio,mean,standard deviation; the count data using chi square test, the measured data was compared with the non parametric statistical method, Multivariate Logistic regression was used to analysis the risk factors that affect the score. Statistical significance was set at P<0.05.Results:1、Postpartum contraception related KAP among the obstetric medical staff(1) The knowledge of postpartum contraception among obstetric medical staff seriously lack. The total correct rate of the obstetric medical staff was34.80%. The lowest score is5points, the highest was80points, The average score was34.81±13.488,>60points accounted for only2.87%, the score has nothing to do with the age, the sex, working years, hospital level and the title, was positively related to the degree.The medical staff consider that the top three of the most ideal contraceptive method were:IUD, condom and Combined oral contraceptives the top three of the most ideal contraceptive method of postpartum lactation were:condoms, IUD and the essence of the platoon outside. (2) The attitude of obstetric medical staff:>85%obstetric medical staff have thought it necessary to carry out postpartum contraceptive propaganda during pregnancy and to develop postpartum training of the medical staff.(3) Regarding the postpartum contraception:95%obstetric medical staff had offered education before discharge and postpartum visit. The educational methods were simply inform that pay attention to contraception, specific methods are not discussed or provide contraceptives. Obstetricians obtained relevant progress of contraceptive knowledge mainly through the daily medical work at this stage, hope that approuch postpartum contraception ralated knowlege through continuing education courses,organize special lectures in academic conference and special training.2、Postpartum contraception related KAP among the postpartum women(1) The knowledge of postpartum contraception among postpartum women seriously lack. The total correct rate was28.9%. The lowest score is0points, the highest was90points, The average score was28.45±14.820,>60points accounted for only3.5%, the score of the age of<25and the age of>36were the lowest, the score of the age of26±30were the highest.there was a positive proportion between average score and degree.the group of farmingand business were the lowest, the group of cadre was the highest, the everage score had no significant difference among the Different Gravida and parity.<2000income got the lowest score,5000-8000income got the highest score, the difference has statistical significance. There was no significant difference between the everage score of postpartum women From the general hospital and permanent hospital.(2) The attitude to postpartum women:84.0%postpartum women have thought it necessary to carry out postpartum contraceptive propagation and consultations. And79.8%postpartum women accept it.>70%postpartum women considered that abortion will have a great negative impact on women’s health and later pregnancy.(3) Is greater than95.0%of postpartum women said only in front of the hospital and postpartum back to clinical medical staff of postpartum contraception mission, mission just was told in the form of contraception, not to discuss specific methods, only a few postpartum women said in front of the hospital and postnatal returning to diagnosis when accepted the contraceptive guide and implement the contraceptive measures or contraceptives.Mission time limited to discharge before and after diagnosis.Postpartum women at this stage the main way to get postpartum contraceptive knowledge:network, public media and community health service.Obstetric medical staff think that the best education ways are:community family planning services, pregnant women school and public media.Conclusions:1. The postpartum contraception knowledge between obstetric medical staff and the postpartum women is seriously lack.2. The obstetric medical staff and the postpartum women hold positive attitude towards the education for postpartum contraceptive knowledge.3. Postpartum contraception related education only provided Before discharging and postpartum visit.The content was simply inform that pay attention to contraception, specific methods are not discussed.4. To explore the reason why postpartum contraception situation is not ideal, that’s because insufficient attention and propaganda.Obstetric medical staff didn’t update the contraception knowledge, obstetric medical staff and the postpartum women’s lack of knowledge on the various methods of contraception, exaggerated the side effects and complications.