Abstract：
BACKGROUND:Rural-to-urban migrant women in Shanghai have poor reproductive health; the incidence of postpartum unintended pregnancy and contraceptive practices has not been adequately studied in this population. STUDY DESIGN:This retrospective study examined the incidence of postpartum unintended pregnancy and associated factors among migrant women and included a medical records reviews, telephone interviews and in-depth face-to-face interviews. RESULTS:The incidence of unintended pregnancy during the first and second years postpartum was 12.8 and 12.9 per 100 women-years, respectively. Eighty-six percent resulted from nonuse of contraception, and 88% ended in induced abortions. Median times of sexual activity resumption and contraception initiation were 2 months and 7.5 months postpartum, respectively. Approximately 17% of women did not adopt effective contraceptive methods until undergoing induced abortion. CONCLUSIONS:Concentrated efforts, including contraception counseling prior to discharge and early postpartum visits, are required to increase early use of effective contraception among rural-to-urban migrant women in Shanghai and to reduce their high level of postpartum unintended pregnancy.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Huang YM,Merkatz R,Kang JZ,Roberts K,Hu XY,Di Donato F,Sitruk-Ware R,Cheng LNdoi
10.1016/j.contraception.2012.05.007subject
Has Abstractpub_date
2012-12-01 00:00:00pages
731-8issue
6eissn
0010-7824issn
1879-0518pii
S0010-7824(12)00252-1journal_volume
86pub_type
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