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Postpartum examination, breastfeeding, and contraception in the postpartum period in the Czech Republic

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Zahumensky J., Sykorova J., Sottner O., Zmrhalova B., Vojtech J., Menzlova E., Vasicka I., Dvorska M., Maxova K., Vlacil J., Hrubantova H., Halaska M.

Open Medicine

2011

vol. 6

issue 1

76-82

In the majority of recent textbooks of obstetrics, a routine follow-up examination at the end of the postpartum period is recommended. To date, no studies have been done in the Czech Republic addressing use of contraception and follow-up care in the postpartum period. Questionnaires were sent to 672 participants who gave birth in the year 2008, inquiring about follow-up examinations in the postpartum period and use of contraception. In total, 458 (68.2%) questionnaires were returned. 430 women (93.9%) underwent routine examinations at 6 weeks into the postpartum period. At the time of examination, 36 women were asked about their particular health problems (8.4%). In 130 instances, the question most often addressed by the outpatient gynecologist concerned use of contraception (30.2%). However, only 34 physicians expressed concern about changes in sexual life or other sexually related problems. 426 women (93.0%) were sexually active and 310 women (72.8%) did not use any contraception with the exception of breastfeeding. The current practice of outpatient gynecological visits at 6 weeks postpartum and advice on contraception both seem inadequate.

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1 Open Medicine

1 2011

1 Dvorska M.

1 Halaska M.

1 Hrubantova H.

1 Maxova K.

1 Menzlova E.

1 Sottner O.

1 Sykorova J.

1 Vasicka I.

1 Vlacil J.

1 Vojtech J.

1 Zahumensky J.

1 Zmrhalova B.

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Postpartum examination, breastfeeding, and contraception in the postpartum period in the Czech Republic