妊娠期糖尿病如何影响非糖尿病初产妇的产后避孕？
How does gestational diabetes affect postpartum contraception in nondiabetic primiparous women?
作者信息
Beydoun Hind A, Beydoun May A, Tamim Hala
机构信息
Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA 23501-1980, USA.
出版信息
Contraception. 2009 Apr;79(4):290-6. doi: 10.1016/j.contraception.2008.10.013. Epub 2008 Dec 11.
BACKGROUND
The aim of the study is to explore the effect of gestational diabetes mellitus (GDM) on postpartum contraception among nondiabetic primiparous women.
STUDY DESIGN
Secondary analyses of 2004-2005 Pregnancy Risk Assessment Monitoring System data from Michigan and Oregon.
METHODS
Analyses were performed on 2332 women, taking complex survey design into consideration. Crude and adjusted odds ratios (cOR; aOR) and their 95% confidence intervals (CI) were obtained using logistic regression analyses.
RESULTS
Postpartum use of hormonal (aOR=1.12, 95% CI: 0.68-1.83) and nonhormonal (aOR=1.18, 95% CI: 0.73-1.92) contraception were not influenced by GDM after controlling for confounders. Female sterilization was more frequently adopted (cOR=4.99, 95% CI: 1.13-22.17) and depomedroxyprogesterone acetate (DMPA) (cOR=0.53, 95% CI: 0.23-1.18), diaphragm/cervical cap/sponge (cOR=0.13, 95% CI: 0.016-0.95) and cervical ring (cOR=0.13, 95% CI: 0.017-0.98) were less frequently adopted by women reporting GDM diagnosis.
CONCLUSION
With few exceptions, GDM does not appear to affect postpartum hormonal and nonhormonal contraception.
背景
本研究旨在探讨妊娠期糖尿病（GDM）对非糖尿病初产妇产后避孕的影响。
研究设计
对2004 - 2005年密歇根州和俄勒冈州妊娠风险评估监测系统的数据进行二次分析。
方法
对2332名女性进行分析，考虑了复杂的调查设计。使用逻辑回归分析获得粗比值比和调整后的比值比（cOR；aOR）及其95%置信区间（CI）。
结果
在控制混杂因素后，报告患有GDM的女性使用激素避孕（aOR = 1.12，95% CI：0.68 - 1.83）和非激素避孕（aOR = 1.18，95% CI：0.73 - 1.92）不受GDM影响。女性绝育的采用更为频繁（cOR = 4.99，95% CI：1.13 - 22.17），而报告患有GDM的女性较少采用醋酸甲羟孕酮（DMPA）（cOR = 0.53，95% CI：0.23 - 1.18）、隔膜/宫颈帽/海绵（cOR = 0.
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