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Prenatal contraceptive counseling and method provision after childbirth

机译:分娩后的产前避孕咨询和方法提供

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Abstract: Postpartum contraception is undergoing major changes, not only in timing, but also in content. Failure to provide immediate postpartum contraception contributes to the problems of unintended pregnancies and rapid repeat pregnancy because often the highest-risk women do not return for postpartum care. If they do attend that visit, they have often lost the insurance coverage that would enable them to use the most effective forms of birth control. Most of the issues surrounding early initiation of progestin-only methods and breastfeeding have been favorably resolved. In some cases, insurance coverage for delivery has been expanded to cover the costs of providing intrauterine devices and implants before the woman is discharged home. All of these new opportunities shift the burden of counseling about postpartum contraception onto the shoulders of the prenatal care provider. This article provides information about the advantages and disadvantages of providing immediate postpartum contraception with each of the eligible methods so clinicians can provide the needed counseling both during pregnancy and during hospitalization for delivery. It also provides guidance for initiation of bridging contraception, if needed, to initiate a method for a woman later in the postpartum period.
机译:摘要:产后避孕不仅在时间上而且在内容上都发生着重大变化。无法提供立即的产后避孕措施会导致意外怀孕和快速重复怀孕的问题,因为高危女性通常不会回国接受产后护理。如果他们确实参加了这次访问,他们通常会失去使他们能够使用最有效形式的节育措施的保险。与仅采用孕激素方法和母乳喂养有关的大多数问题都得到了很好的解决。在某些情况下,分娩的保险范围已扩大到包括在妇女出院前提供宫内节育器和植入物的费用。所有这些新机会将产后避孕咨询的负担转移到了产前保健提供者的肩上。本文提供有关使用每种合格方法立即进行产后避孕的利弊的信息,以便临床医生可以在怀孕期间和住院分娩时提供所需的咨询。它还为在需要时启动桥接避孕方法提供指导,以便在产后后期为妇女启动一种方法。

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