避孕干预对产后妇女生殖健康影响的meta分析

doi:10.3969/j.issn.1006-5253.2021.04.003

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Abstract Objective To evaluate the effect of contraceptive intervention on postpartum women and provide reference for improving their reproductive health. Methods CNKI, Wanfang, Weipu database, PubMed and Embase were searched for randomized controlled trials of contraceptive intervention and routine nursing. Literature was screened and data were extracted according to inclusion and exclusion criteria. After quality evaluation, meta analysis was performed with RevMan 5.2 software. Results Twenty-three randomized controlled trials were included, with a total of 16 684 subjects followed up. Metaanalysis showed that intervention could increase breastfeeding rates (OR=1.89,95%CI:1.42-2.51), and only the high-quality study intervention had no significant effect on the total nutritional rate of milk for five months after delivery (P=0.870). The intervention could increase the half-year contraceptive rate after delivery (OR=4.37, 95%CI：2.00-9.52), and the difference remained statistically significant after excluding low-quality studies (OR=0.17，95%CI: 0.13-0.21). The intervention could increase the one-year contraceptive rate after delivery (OR=2.83, 95%CI：1.67-4.82). The intervention could reduce the postpartum accidental pregnancy rate (OR=0.55, 95%CI：0.42-0.73), but the differences of four high quality studies were not statistically significant (OR=0.64, 95%CI：0.27-1.49). The intervention could reduce the rate of induced abortion (OR=0.35, 95%CI：0.26-0.47), but the quality of the documents that described the index was low. Conclusion Contraceptive interventions may affect postpartum breastfeeding rates, contraceptive rates, postpartum unintended pregnancy rates, and induced abortion rates. Because of the low quality of the inclusion of some documents, more large samples and high quality random control studies are required for further confirmation.

Key words： postpartum contraceptive intervention randomized controlled trial meta-analysis

Received: 08 February 2021

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	Liu Ni
	Shan Li
	Chu Guanghua

Cite this article:

Liu Ni,Shan Li,Chu Guanghua. Meta analysis of the effect of contraceptive intervention on postpartum women′s reproductive health[J]. journal1, 2021, 28(4): 298-304.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2021.04.003 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2021/V28/I4/298

［1］顾向应,车焱.人工流产和避孕大数据对生育政策放宽后我国计划生育工作的启示［J］.中国实用妇科与产科杂志,2018,34(1):46-51
［2］杨晓群.个性化护理对妇女产后非意愿妊娠及性生活质量的影响［J］.广州医科大学学报,2016,44(4):86-88.
［3］蒲元芳,李宗蔚,任应强,等.基层医疗机构产后高效避孕管理模式初探［J］.中国妇幼保健,2020,35(1):10-12.
［4］施丹凤,江秀敏,刘桂华.产后妇女生殖健康服务现状与展望［J］.海峡预防医学杂志,2016,22(2):23-25.
［5］NISHA M K, ALAM A, ISLAM M T, et al. Risk of adverse pregnancy outcomes associated with short and long birth intervals in Bangladesh: Evidence from six Bangladesh Demographic and Health Surveys, 1996-2014［J］. BMJ Open, 2019, 9(2):e024392.
［6］THOMA M E, ROSSEN L M, DE SILVA D A, et al. Beyond birth outcomes: Interpregnancy interval and injury-related infant mortality［J］. Paediatr Perinat Epidemiol, 2019, 33(5):360-370.
［7］LONHART J A, MAYO J A, PADULA A M, et al. Short interpregnancy interval as a risk factor for preterm birth in non-Hispanic Black and White women in California［J］. J Perinatol, 2019, 39(9):1175-1181.
［8］CUNNINGHAM S, ALGEO C E, DEFRANCO E A. Influence of interpregnancy interval on uterine rupture［J］. J Matern Fetal Neonatal Med, 2019:1-6.
［9］胡晓宇,韦秋月,肖志琴,等.孕期避孕指导对产后避孕行为的影响［J］.中国生育健康杂志,2003,14(4):201-205.

［10］SMITH K B, VAN DER SPUY Z M, CHENG L, et al. Is postpartum contraceptive advice given antenatally of value?［J］. Contraception, 2002, 65(3):237-243.[ZK)]
［11］叶明,黄柳,程曦,等.医院开展产后避孕宣教对流动人口产后意外妊娠的影响［J］.广州医药,2013,44(3):62-65.
［12］孔海燕,邹林芝,肖裕红,等.产后避孕关爱服务在产妇中的应用效果［J］.中国当代医药,2019,26(8):93-95.
［13］MELANI ASTARI A, RUSTINA Y, PRATOMO H, et al. Improving the utilization of health services among high-risk pregnant women through community health nurse assistance［J］. Enferm Clin, 2018, 28(Suppl 1):217-221.
［14］梁承蓉.产后计划生育服务对孕妇分娩后短期内再孕率、避孕手段及儿童健康生长的影响［J］.中国妇幼保健,2016,31(22):4823-4826.
［15］何柳.对产妇进行计划生育指导对其产后避孕依从率和成功率的影响［J］.当代医药论丛,2018,16(4):70-72.
［16］蒋燕.计划生育服务对产后避孕依从性和成功率的影响［J］.大家健康(下旬版),2017,11(3):183.

［17］倪少义,何洁壁,徐少娟,等.计划生育服务对产后避孕依从性和成功率的影响［J］.河南医学研究,2016,25(8):1435-1436.
［18］赵丽莉,张瀛,李小鹏,等.计划生育服务对产后避孕依从性和成功率的影响［J］.河北医药,2015,37(13):2039-2041.
［19］徐美琴.探讨计划生育服务对孕妇分娩后避孕手段及主动避孕率的作用［J］.中国高等医学教育,2018(4):132.
［20］潘夏燕,曾菊芳,陶雪玲,等.医院对产后避孕服务全面干预效果观察［J］.中国乡村医药,2012,19(6):39-40.
［21］刘凌云,柴杉杉,王亚飒.早期介入哺乳期避孕服务管理模式的研究［J］.心理医生,2018,24(8):313-314.
［22］张建英,黄丽光,谭燕宏,等.早期介入哺乳期避孕服务管理模式的研究分析［J］.中国计划生育学杂志,2015,23(2):91-94.
［23］HU X Y, CHENG L N, HUA X L, et al. Advanced provision of emergency contraception to postnatal women in China makes no difference in abortion rates: A randomized controlled trial［J］. Contraception, 2005, 72(2):111-116.
［24］CAMARA B S, DELAMOU A, SIDIB-S, et al. Impact of an antenatal counseling on use of modern family planning methods in the postpartum in rural Guinea［J］. Afr J Reprod Health, 2018, 22(4):16-25.
［25］SEBASTIAN M P, KHAN M E, KUMARI K, et al. Increasing postpartum contraception in rural India: Evaluation of a community-based behavior change communication intervention［J］. Int Perspect Sex Reprod Health, 2012, 38(2):68-77.
［26］ADANIKIN A I, ONWUDIEGWU U, LOTO O M. Influence of multiple antenatal counselling Sessions on modern contraceptive uptake in Nigeria［J］. Eur J Contracept Reprod Health Care, 2013, 18(5):381-387.
［27］NORR K F, CRITTENDEN K S, LEHRER E L, et al. Maternal and infant outcomes at one year for a nurse-health advocate home visiting program serving African Americans and Mexican Americans［J］. Public Health Nurs, 2003, 20(3):190-203.
［28］FRAREY A, GURNEY E P, SOBER S, et al. Postpartum contraceptive counseling for first-time adolescent mothers: A randomized controlled trial［J］. Arch Gynecol Obstet, 2019, 299(2):361-369.
［29］AYIASI R M, MUHUMUZA C, BUKENYA J, et al. The effect of prenatal counselling on postpartum family planning use among early postpartum women in Masindi and Kiryandongo districts, Uganda［J］. Pan Afr Med J, 2015, 21:138.
［30］BOLAM A, MANANDHAR D S, SHRESTHA P, et al. The effects of postnatal health education for mothers on infant care and family planning practices in Nepal: A randomised controlled trial［J］. BMJ, 1998, 316(7134):805-811.
［31］AKMAN M, T-N S, UZUNER A, et al. The influence of prenatal counselling on postpartum contraceptive choice［J］. J Int Med Res, 2010, 38(4):1243-1249.
［32］SHAABAN O M, HASSEN S G, NOUR S A, et al. Emergency contraceptive pills as a backup for lactational amenorrhea method (LAM) of contraception: A randomized controlled trial［J］. Contraception, 2013, 87(3):363-369.
［33］MORRONI C, GLASIER A. Increasing the use of effective postpartum contraception: Urgent and possible［J］. Lancet Glob Health, 2020, 8(3):e316-e317.
［34］TRAN N T, SEUC A, TSHIKAYA B, et al. Effectiveness of post-partum family planning interventions on contraceptive use and method mix at 1 year after childbirth in Kinshasa, DR Congo (Yam Daabo):A single-blind, cluster-randomised controlled trial［J］. Lancet Glob Health, 2020, 8(3):e399-e410.
［35］THOMPSON E L, VAMOS C A, LOGAN R G, et al. Patients and providers' knowledge, attitudes, and beliefs regarding immediate postpartum long-acting reversible contraception: A systematic review［J］. Women Health, 2020, 60(2):179-196.
［36］邱丽云,谢晓萍,陈夏明,等.流产后关爱对人流患者不良心理及避孕知识掌握程度的影响［J］.齐齐哈尔医学院学报,2017,38(5):525-527.
［37］江长君,杨梅.产后1年内意外妊娠的危险因素研究［J］.世界最新医学信息文摘,2017,17(80):18-19.