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Postpartum Long-Acting Reversible Contraception Use inAdolescent at Maharat Nakhon Ratchasima Hospital |
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| รหัสดีโอไอ | |
| Creator | Lalita Songsathaporn, M.D., |
| Title | Postpartum Long-Acting Reversible Contraception Use inAdolescent at Maharat Nakhon Ratchasima Hospital |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 1 |
| Page no. | 26-34 |
| Keyword | long-acting reversible contraception, adolescent pregnancy, postpartum |
| ISSN | 0857-6084 |
| Abstract | Objective: To determine the intention and using of long-acting reversible contraception (LARC)in adolescents in the postpartum period.Material and Method: A prospective cohort study was conducted at Maharat Nakhon Ratchasimahospital, from June 2014 to November 2014. Postpartum adolescents under the age of 20 whowilling to participate were enrolled in this study. A structured interview questionnaire was usedto determine the intention of contraceptive use prior to discharge. Then, phone interviewed at12 weeks postpartum to determine contraceptive use and reasons.Results: Three hundred and ninety eight of 456 adolescents had a documented postpartumvisit at 12 weeks, giving an overall response rate of 87.3%. 336 adolescents (73.7%) intendedto use LARC prior to discharge and 209 adolescents (56.9%) had used LARC within 12 weekspostpartum. The most common reason of LARC use was convenience. Injectable contraceptionwas the most common LARC used that included 54.77% of participants. Intended birth intervaland pregnancy desire were signifiant factor of choosing LARC at postpartum ward. Signifiantfactors associated with using LARC at 12 weeks postpartum were intended birth interval andprevious contraception.Conclusions: The intention to use LARC was 73.7% and the using rate of LARC at 12 weekspostpartum was 56.9%. Convenience was the most common reason of LARC use at 12 weekspostpartum. |
