干旱区生态环境知识资源中心(Arid): Postpartum contraceptive uptake and fertility desires following obstetric anal sphincter injury

Arid

DOI	10.1007/s00192-021-04760-8
	Postpartum contraceptive uptake and fertility desires following obstetric anal sphincter injury
	O'Shea, Michele; Zandi, Roya; Kamat, Natasha; Warner, Kristina; Collins, Sarah; Mueller, Margaret; Kenton, Kimberly; Lewicky-Gaupp, Christina
通讯作者	O'Shea, M (corresponding author), Duke Univ, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Durham, NC 27708 USA.
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2021
英文摘要	Introduction and hypothesis Our primary objective was to compare rates of contraceptive use among postpartum heterosexual primiparous women with and without obstetric anal sphincter injury (OASIS). The secondary objective was to compare fertility desires among women with and without OASIS. Methods This was a planned secondary analysis of a prospective cohort study of postpartum sexual function among primiparous postpartum women. Women with a history of vaginal delivery with and without OASIS completed online surveys at baseline and 3 months postpartum. Results Sixty-nine women completed baseline and 3-month surveys. Forty-one percent of women with OASIS and 36% without OASIS were not using contraception at 3 months postpartum. One-third of women in either group reported using at least moderately effective contraception (P = 0.9), defined as using hormonal contraception or an intrauterine contraceptive device, and excluding condoms. Most women with OASIS (54%) desired to wait 1 to 2 years before attempting another pregnancy. One fifth of women with and without OASIS desired another pregnancy within the next year (P = 0.4). Conclusions A minority of postpartum primiparous women in the present cohort reported using moderately effective contraception 3 months postpartum, regardless of whether they sustained OASIS. The discrepancy between current contraceptive use and desired birth spacing suggests an unmet contraceptive need within our population and an opportunity for improved contraceptive counseling consistent with patients' family planning goals, as well as national and international guidelines on birth spacing. Larger prospective studies are needed to further understand the unmet contraceptive need among women with OASIS.
英文关键词	Obstetric anal sphincter injury Family planning Postpartum
类型	Article ; Early Access
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000631344000002
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352283
作者单位	[O'Shea, Michele] Duke Univ, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Durham, NC 27708 USA; [Zandi, Roya; Kamat, Natasha] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA; [Warner, Kristina] Northwestern Univ, Dept Obstet & Gynecol, Chicago, IL USA; [Collins, Sarah; Mueller, Margaret; Kenton, Kimberly; Lewicky-Gaupp, Christina] Northwestern Univ, Div Female Pelv Med & Reconstruct Surg, Chicago, IL 60611 USA
推荐引用方式 GB/T 7714	O'Shea, Michele,Zandi, Roya,Kamat, Natasha,et al. Postpartum contraceptive uptake and fertility desires following obstetric anal sphincter injury[J],2021.
APA	O'Shea, Michele.,Zandi, Roya.,Kamat, Natasha.,Warner, Kristina.,Collins, Sarah.,...&Lewicky-Gaupp, Christina.(2021).Postpartum contraceptive uptake and fertility desires following obstetric anal sphincter injury.INTERNATIONAL UROGYNECOLOGY JOURNAL.
MLA	O'Shea, Michele,et al."Postpartum contraceptive uptake and fertility desires following obstetric anal sphincter injury".INTERNATIONAL UROGYNECOLOGY JOURNAL (2021).