Introduction: Fertility control and the use of contraception are fundamental to reproductive health, enabling people to freely plan their family design, prevent unwanted pregnancies, and make informed health decisions. This right, sought after for centuries, reflects a growing awareness of the importance of family planning. Access to adequate information with respect to contraception is crucial to ensuring informed choices and promoting reproductive health. Particularly during the puerperal period, understanding women's and couples' needs and desires with respect to contraception is critical to promoting healthy sexual recovery and informed family planning. Objectives: The survey undertaken aims to assess knowledge about contraception among women in full-term pregnancy and the postpartum period, identify their contraceptive attitudes during the puerperium, assess the effectiveness of contraceptive counseling (if received), and determine women's need for contraception counseling at discharge. Materials and Methods: The study is a qualitative cognitive type conducted at the Obstetrics and Gynecology Operating Unit of the "G. Salesi" hospital in Ancona, and pregnant women from 37th gestational week to postpartum were involved. Convenience sampling was adopted and data were collected by paper or online questionnaire. Results: The survey of 110 women, pregnant beyond 37 weeks gestational week and postpartum, revealed several significant findings. The majority of the participants were of the Catholic faith (72.6%), with an average age of 32.218 years. About 39.1% of the women were pregnant, while 60.9% were in the postpartum period. Most sought and planned pregnancy (75.5%), with a prevalence among women aged 30-34 years. Sixty percent of respondents had used contraceptives in the past. Only 35.5% received contraceptive information during pregnancy, mainly from their gynecologist (71.8%). 90% believe they have received comprehensive information about contraception. 59.1% of women want to use contraceptive methods in the puerperium, with a preference for hormonal contraceptives (29.2%). About 60% of respondents wish to receive information on contraception at discharge. Discussion and Conclusion: This thesis thoroughly examines contraceptive attitudes during pregnancy and postpartum, highlighting gaps in contraceptive information during pregnancy and limited awareness about the use of contraception during breastfeeding. Contraceptive intentions vary and are influenced by sociodemographic and cultural factors, while past experiences influence current decisions. There is a clear need for individualized counseling and ongoing education about contraceptive options. Interest in receiving information about contraception at the time of discharge suggests an opportunity to improve informational support during the hospital-territory transition. In summary, the thesis identifies challenges and suggests targeted interventions to meet the needs of women during crucial stages of their reproductive lives.
Introduzione: Il controllo della fertilità e l'uso della contraccezione sono fondamentali per la salute riproduttiva, consentendo alle persone di pianificare liberamente il proprio progetto familiare, prevenire gravidanze non desiderate e prendere decisioni consapevoli sulla salute. Questo diritto, ricercato per secoli, riflette una crescente consapevolezza dell'importanza della pianificazione familiare. L'accesso ad informazioni adeguate rispetto alla contraccezione è cruciale per garantire scelte consapevoli e promuovere la salute riproduttiva. In particolare, durante il periodo del puerperio, comprendere le esigenze e i desideri delle donne e delle coppie riguardo alla contraccezione è fondamentale per favorire una ripresa sessuale sana e una pianificazione familiare consapevole. Obiettivi: L'indagine intrapresa mira a valutare la conoscenza sulla contraccezione tra le donne in gravidanza a termine e nel periodo post-partum, individuare le loro attitudini contraccettive durante il puerperio, valutare l'efficacia del counseling contraccettivo (se ricevuto) e determinare l'esigenza delle donne di ricevere consulenze sulla contraccezione al momento della dimissione. Materiali e metodi: Lo studio è di tipo qualitativo conoscitivo condotto presso l'Unità Operativa di Ostetricia e Ginecologia della struttura ospedaliera "G. Salesi" di Ancona e sono state coinvolte donne gravide dalla 37a settimana gestazionale fino al post-partum. È stato adottato un campionamento di convenienza e i dati sono stati raccolti tramite questionario cartaceo o online. Risultati: L'indagine condotta su 110 donne, gravide oltre la 37a settimana gestazionale e nel post-partum, ha evidenziato diversi risultati significativi. La maggioranza delle partecipanti è di fede cattolica (72,6%), con un'età media di 32,218 anni. Circa il 39,1% delle donne era in gravidanza, mentre il 60,9% era nel periodo post-partum. La maggior parte ha cercato e pianificato la gravidanza (75,5%), con una prevalenza tra le donne di età compresa tra 30 e 34 anni. Il 60% delle intervistate ha utilizzato contraccettivi in passato. Solo il 35,5% ha ricevuto informazioni contraccettive durante la gravidanza, principalmente dal ginecologo (71,8%). Il 90% ritiene di aver ricevuto informazioni esaustive sulla contraccezione. Il 59,1% delle donne desidera utilizzare metodi contraccettivi nel puerperio, con una preferenza per i contraccettivi ormonali (29,2%). Circa il 60% delle intervistate desidera ricevere informazioni sulla contraccezione alla dimissione. Discussione e conclusione: La tesi esamina in maniera accurata gli atteggiamenti contraccettivi durante la gravidanza e nel post-partum, evidenziando lacune nell'informazione contraccettiva durante la gravidanza e la consapevolezza limitata sull'uso della contraccezione durante l'allattamento. Le intenzioni contraccettive variano e sono influenzate da fattori sociodemografici e culturali, mentre le esperienze passate influenzano le decisioni attuali. È evidente la necessità di consulenze personalizzate e di un'educazione continua sulle opzioni contraccettive. L’interesse a ricevere informazioni sulla contraccezione nel momento della dimissione suggerisce un'opportunità per migliorare il supporto informativo durante la transizione ospedale-territorio. In sintesi, la tesi individua sfide e suggerisce interventi mirati per soddisfare le esigenze delle donne durante le fasi cruciali della loro vita riproduttiva.
L'USO DEI CONTRACCETTIVI NEL PUERPERIO: INDAGINE CONOSCITIVA
BRUSCHI, ELENA
2022/2023
Abstract
Introduction: Fertility control and the use of contraception are fundamental to reproductive health, enabling people to freely plan their family design, prevent unwanted pregnancies, and make informed health decisions. This right, sought after for centuries, reflects a growing awareness of the importance of family planning. Access to adequate information with respect to contraception is crucial to ensuring informed choices and promoting reproductive health. Particularly during the puerperal period, understanding women's and couples' needs and desires with respect to contraception is critical to promoting healthy sexual recovery and informed family planning. Objectives: The survey undertaken aims to assess knowledge about contraception among women in full-term pregnancy and the postpartum period, identify their contraceptive attitudes during the puerperium, assess the effectiveness of contraceptive counseling (if received), and determine women's need for contraception counseling at discharge. Materials and Methods: The study is a qualitative cognitive type conducted at the Obstetrics and Gynecology Operating Unit of the "G. Salesi" hospital in Ancona, and pregnant women from 37th gestational week to postpartum were involved. Convenience sampling was adopted and data were collected by paper or online questionnaire. Results: The survey of 110 women, pregnant beyond 37 weeks gestational week and postpartum, revealed several significant findings. The majority of the participants were of the Catholic faith (72.6%), with an average age of 32.218 years. About 39.1% of the women were pregnant, while 60.9% were in the postpartum period. Most sought and planned pregnancy (75.5%), with a prevalence among women aged 30-34 years. Sixty percent of respondents had used contraceptives in the past. Only 35.5% received contraceptive information during pregnancy, mainly from their gynecologist (71.8%). 90% believe they have received comprehensive information about contraception. 59.1% of women want to use contraceptive methods in the puerperium, with a preference for hormonal contraceptives (29.2%). About 60% of respondents wish to receive information on contraception at discharge. Discussion and Conclusion: This thesis thoroughly examines contraceptive attitudes during pregnancy and postpartum, highlighting gaps in contraceptive information during pregnancy and limited awareness about the use of contraception during breastfeeding. Contraceptive intentions vary and are influenced by sociodemographic and cultural factors, while past experiences influence current decisions. There is a clear need for individualized counseling and ongoing education about contraceptive options. Interest in receiving information about contraception at the time of discharge suggests an opportunity to improve informational support during the hospital-territory transition. In summary, the thesis identifies challenges and suggests targeted interventions to meet the needs of women during crucial stages of their reproductive lives.| File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/17228