ผลของโปรแกรมส่งเสริมการใช้ยาฝังคุมกำเนิดต่อความรู้ ระดับความพร้อมและ การใช้ยาฝังคุมกำเนิดในมารดาวัยรุ่นหลังคลอด

สุพัตรา หน่ายสังขาร; วรรณี เดียวอิศเรศ; ตติรัตน์ เตชะศักดิ์ศรี

Authors

สุพัตรา หน่ายสังขาร
วรรณี เดียวอิศเรศ
ตติรัตน์ เตชะศักดิ์ศรี

Keywords:

program, contraceptive implant use, knowledge, readiness, teenage mothers

Abstract

This quasi-experimental research aimed to investigate the effects of promoting the use of contraceptive implant program on contraceptive implant knowledge, readiness to use contraceptive implant, and immediate postpartum contraceptive implant use among teenage mothers. A purposive sample of 52 teenage primigravida mothers aged 10 to 19 years receiving antenatal care at a hospital in Suphanburi Province was recruited into the study. They were assigned in either the control (n = 26) or the experimental group (n = 26). Participants in the experimental group received both routine antenatal care and promoting the use of contraceptive implant program, while participants in the control group received only a routine nursing care. Data were collected from February to May 2018 using a set of questionnaires on contraceptive implant knowledge, readiness to use contraceptive implant, and immediate postpartum contraceptive implant use. Data were analyzed using descriptive statistics, Chi-square test, and independent t-test. The results revealed that the experimental group had significant better contraceptive implant knowledge (t= -6.26, p<.001), and greater readiness to use contraceptive implant (t = -6.00, p < .001) than the control group. In the use of immediate postpartum contraceptive implant, there was significant higher number of mothers in the experimental group than in the control group (χ²= 3.82, p < .05). Results of the study suggest that teenage mothers should be encouraged to use contraceptive implant during pregnancy and immediate after delivery to prevent unplanned repeat pregnancy during adolescent age.

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