산후(産後) 피임(避姙) 및 재임신(再姙娠)에 관한 연구(硏究) = A Study on Another Pregnancy and Contraceptive Use in Postpartum Women

다국어 초록 (Multilingual Abstract)

An early pregnancy after giving births exerts an important effect on health of both the pregnant woman and the child to be born. In this respect, postpartum family planning program prevails in countries far more likely with an earlier trend towards resumption of menses from all causes after birth.
The purpose of this study is to measure the fertility during periods of 2 years after preceding births and to ascertain the implications of various factors affecting the scope of such periods.
Informations mainly about contraceptive use and incidences of pregnancy with breastfeeding & amenorrheic status at each of postpartum months were collected from following up 403 women, the mothers of 0~1 year (0~23 months) children contacted by child health care program of Urban Primary Health Care Project (1982~1986，KIPH), through that projects health personnel during Jan. 1984-June 1986. The results and findings obtained from the study are summarized as ：
1) Postpartum amenorrhea and breastfeeding patterns showed trend towards that both breastfeeding duration (Average in 9 months) and the period of postpartum amenorrhea (average in 9 months), with correlation between the duration of breastfeeding and the return of menses, are reduced.
2) Estimates of contraceptive uses & another pregnancies based on a life table approach indicate that comparing with other studies in 1975 incidence rate of pregnancy is relatively high but the same level of contraceptive practices.
3) The period of postpartum amenorrhea of studied women shows the same trend as that of foreign ones, but contraceptive practice rate during postpartum of studied women is far lower.
4) It is recommended, therefore, family planning services should be provided as early as the current pregnancy is terminated.