COMPARATIVE ANALYSIS OF CONTRACEPTIVE INTENTIONS IN WOMEN AFTER CHILDBIRTH

Аннотация

One of the factors causing maternal mortality is the onset of pregnancy in women for whom it is absolutely contraindicated. In this regard, women’s awareness of contraceptive methods, especially immediately after childbirth, is very relevant in modern medicine. The aim of our study was to determine contraceptive awareness among women in labor in urban and rural areas. Methods. We present clinical data analysis and the results of contraceptive behavior 250 postpartum women in urban and rural areas, who conducted survey consisted of 21 questions. Results. The questionnaire provided data on contraceptive knowledge and their intentions before and after delivery. Conclusions. Women’s contraceptive attitudes can be changed with individual counseling and selection of a method taking into account the health and other specific problems of patients. Keywords: contraception, urban women, rural women. СРАВНИТЕЛЬНЫЙ АНАЛИЗ КОНТРАЦЕПТИВНЫХ НАМЕРЕНИЙ У ЖЕНЩИН ПОСЛЕ РОДОВ Аннотация. Одним из факторов, обусловливающих материнскую смертность, является наступление беременности у женщин, которым она абсолютно противопоказана. В связи с этим осведомленность женщин о методах контрацепции, особенно сразу после родов, весьма актуальна в современной медицине. Целью нашего исследования было определение осведомленности о контрацепции среди рожениц в городской и сельской местности. Методы. Мы представляем анализ клинических данных и результаты контрацептивного поведения 250 родильниц в городской и сельской местности, которые провели опрос, состоящий из 21 вопроса. Результаты. Анкета предоставила данные о контрацептивных знаниях и их намерениях до и после родов. 1699 ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 3 Выводы. Контрацептивные установки женщин можно изменить при индивидуальном консультировании и подборе метода с учетом состояния здоровья и других специфических проблем пациенток. Ключевые слова: контрацепция, городские женщины, сельские женщины. Introduction. Protection of women's reproductive health is one of the priority areas in the field of healthcare, since it predetermines the health of the population in general and the reproduction of a healthy generation in particular [8, 10]. In Uzbekistan, the majority of women of fertile age suffer from various somatic diseases, and their childbirth is often complicated by obstetric pathology [4]. Therefore, a special role in the implementation of the set task is given to issues of birth control, prevention of pregnancies in women at high risk in order to reduce the rate of maternal morbidity and mortality [1, 5, 12, 14]. In this regard, it is advisable to consider the postpartum period as "critical", and the use of contraception as the most important direction in maintaining the reproductive health of women after childbirth [7, 14]. One of the most important tasks should include the development and organization of specialized assistance in matters of family development, raising women's awareness of existing methods of contraception, taking into account their wishes in choosing a particular contraceptive [2, 8, 11]. The presence in the anamnesis of certain somatic, endocrine or gynecological diseases, features of sexual and reproductive behavior of women, breastfeeding, age, wishes of partners and many other factors require an individual approach to the choice of a method of contraception for each specific woman [4, 9]. The solution to the problem of protecting women's reproductive health is negatively affected by the insufficient level of training of specialists, as well as women's lack of information about highly effective and acceptable contraceptives [3, 11]. Research in recent years indicates the possibility of using various methods of contraception in the postpartum period, but their effectiveness and acceptability have not been sufficiently studied, as well as the advantages and disadvantages of a particular method, and patients' attitudes toward them [6, 13]. A system and standards for monitoring women in labor in the early stages after childbirth using a particular method have not been developed. Materials and Methods. A survey of 250 women in labor who gave birth in the 9th maternity complex of Tashkent was conducted. The questionnaires provided data on their contraceptive knowledge and intentions after delivery. Of the 250 women surveyed, 70% were urban residents and 30% were rural residents. 1700 ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 3 Result and Discussion. When studying the contraceptive anamnesis, it was found that 59.6% of women used contraception constantly before childbirth, and only 30,4% of them used highly effective methods, such as intrauterine contraception (IUC) (21,6%), hormonal oral (5,6%) and injectable contraceptives (3,2%). Rural women (44%) did not use contraceptive technologies by 5% more than urban women (38,9%). Highly effective methods of contraception, such as IUC and hormonal contraceptives, were used by urban women (3