ObjectiveTo examine the uptake of postnatal contraception (PNC) and experiences of PNC care across a geographical region of England.DesignCross‐sectional online survey.SettingThe North East and North Cumbria Integrated Care System (ICS).PopulationWomen who had completed a pregnancy in the previous 3 years.MethodsThe uptake of PNC by accessed method(s) and the availability of preferred method(s) is described, and adjusted odds ratios are reported for group differences in uptake by characteristics of interest.Main outcome measuresUptake of medically prescribed/administered contraception and uptake of long‐acting reversible contraception (LARC) during the postnatal period, and access to preferred PNC methods.ResultsAlthough almost half of respondents (47.1%; n = 1178) reinitiated some form of sexual activity during the postnatal period, only 38.7% (n = 969) of respondents accessed a medically prescribed/administered contraceptive method postnatally, and only 15.5% (n = 389) of respondents accessed a LARC. It is a matter of concern that 18.8% (n = 451) of respondents indicated that they were unable to access their preferred PNC. In multivariate analysis, younger age, lower household income, higher multiparity, operative delivery, unplanned pregnancy and not breastfeeding were significant predictors of higher PNC uptake.ConclusionsThe uptake of PNC in this cohort was low, with almost a fifth of women unable to access their preferred method. However, there was some evidence that women belonging to groups perceived to be at risk of rapid repeat pregnancy were more likely to access reliable PNC methods.

中文翻译：

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人口统计学和妊娠相关的产后避孕措施的预测因素：一项横断面研究

目的调查英格兰某个地理区域对产后避孕 (PNC) 的采用情况以及 PNC 护理的经验。设计横断面在线调查。设置东北和北坎布里亚综合护理系统 (ICS)。人口3 年。方法描述了通过可访问方法对 PNC 的采用情况以及首选方法的可用性，并根据感兴趣的特征报告了采用情况的组间差异的调整优势比。主要结果指标采用医疗处方/管理的避孕方法产后长效可逆避孕 (LARC) 的采用率，以及获得首选 PNC 方法的机会。结果尽管几乎一半的受访者 (47.1%；n= 1178) 在产后期间重新开始某种形式的性活动，只有 38.7% (n= 969）的受访者在产后接受了医疗处方/实施的避孕方法，只有 15.5%（n= 389) 的受访者访问了 LARC。值得关注的问题是 18.8% (n= 451) 的受访者表示他们无法访问他们首选的 PNC。在多变量分析中，年龄较小、家庭收入较低、多产率较高、手术分娩、计划外怀孕和非母乳喂养是较高 PNC 摄入量的显着预测因素。结论 该队列中 PNC 的摄入量较低，几乎五分之一的女性无法获得她们的 PNC 摄入量。首选方法。然而，有一些证据表明，属于被认为有快速重复妊娠风险的群体的女性更有可能获得可靠的 PNC 方法。