TỶ LỆ CHẤP NHẬN ÁP DỤNG CÁC BIỆN PHÁP TRÁNH THAI TRÊN BỆNH NHÂN CÓ CHỈ ĐỊNH PHẪU THUẬT DO THAI NGOÀI TỬ CUNG TẠI BỆNH VIỆN HÙNG VƯƠNG

Abstract

Background: Knowing that the patient' s contraceptive acceptance rate before and after an ectopic pregnancy surgery and their relationships can be proposed for appropriate consulting programs for each type of object to reduce the ectopic pregnancy rate and improve reproductive health. Objective: Determining the acceptance rate of contraception in patients with indications for ectopic pregnancy surgery at Hung Vuong hospital and analyzing factors related to the acceptability of contraception. Methods: Cross-sectional study on 390 cases of patients with indications for surgery due to ectopic pregnancy at Hung Vuong hospital from 11/2021 to 05/2022, data collection by interview method with structured questionnaire. Results: Acceptance rate of UTI of customers after surgery is 86.4% [95% CI: 83-89.8], factors related to contraceptive acceptance include: History of using contraceptive method increases the rate the difference in PR for accepting contraceptive methods after surgery was 4.68 times higher than that of never using a contraceptive before [PR*=4.68; 95% CI 0.002-0.97], secondary education group [PR*=23.26; 95% CI 1.19-451.97], high school education group [PR*=19.39; 95% CI 1.08-346.87]. Conclusions: It is necessary to establish a thorough counseling session for the client before discharge about reproductive health such as adverse events after ectopic pregnancy, especially mental factors. Provide correct and sufficient knowledge about contraceptive methods for patients, especially interested in the group of customers who have no experience in using and have low education.