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应用流行病学方法,在3个贫困县各选出3对有可比性的乡,分为干预组和对照组。对第一次足月活产后满42天的妇女2 518例(干预组1237例,对照组1281例)各监测18个月。对干预组妇女,观察从产后42天起加强母乳喂养指导和提供计划生育优质服务对预防产后意外妊娠的效果,并和对照组比较。结果表明:在监测18个月中,干预组妇女纯母乳喂养满6个月的比例为60.39％,避孕率为97.74％,妊娠率为1.46％;对照组纯母乳喂养满6个月的比例占51.76％,避孕率为64.09％,妊娠率为23.19％,经统计学检验,两组间差异均有非常显著意义。提示:产后42天是提供避孕宣传教育咨询的适宜时机,以知情选择为目标的优质服务可提高避孕的可接受性和避孕效果,从而减少产后意外妊娠,有利于延长生育间隔,提高母婴健康水平。
Epidemiological methods were used to select three pairs of comparable townships in each of the three poverty-stricken counties, divided into intervention groups and control groups. A total of 2 518 women (1237 in the intervention group and 1281 in the control group) were monitored for 18 months after the first full-term live birth 42 days. For the intervention group of women, observe the effect of strengthening breastfeeding guidance and providing quality services for family planning to prevent postpartum unwanted pregnancies from the 42nd day after birth, and compare with the control group. The results showed that in the 18 months of monitoring, the proportion of exclusive breastfeeding women who were exclusively breastfeeding for 6 months was 60.39%, the rate of contraception was 97.74%, and the pregnancy rate was 1.46%. In the control group, exclusive breastfeeding for 6 months accounted for 51.76%, contraceptive rate was 64.09%, pregnancy rate was 23.19% .Through statistical tests, the differences between the two groups have very significant significance. Tip: 42 days postpartum is the appropriate time to provide counseling on contraceptive counseling. Good services targeting informed choice can improve the acceptability of contraceptives and contraception so as to reduce post-partum unwanted pregnancies, prolong fertility intervals and improve maternal and child health Level.