RESUMO
BACKGROUND: North Carolina has one of the fastest growing Mexican-American populations, yet health care providers have minimal information on how to address the family planning needs of this population. STUDY DESIGN: We conducted semistructured interviews with postpartum Mexican-American women, aged 18-35 years, within 1 month of delivery. Salient themes were identified, coded and analyzed. RESULTS: Twenty women were interviewed. The majority had firmly held family size intentions: most desired to have 2 to 4 children with 2 to 5 years between births. Partners' preferences and the family size in which the participant was raised were factors that most influenced their family size preference. First-generation Mexican-American participants were more likely to have a partner whose intentions are influenced by the gender(s) of their children compared with participants born in Mexico. Participants desired longer intrapartum intervals for optimal infant development, with financial considerations cited less frequently. CONCLUSION: Postpartum women of Mexican descent articulate consistent family planning intentions. Partners' desires may challenge the achievement of these intentions. Providers can encourage the most effective forms of contraception to promote ideal and intended family size.
Assuntos
Serviços de Planejamento Familiar , Aceitação pelo Paciente de Cuidados de Saúde , Cuidado Pós-Natal , Adolescente , Adulto , Comportamento Contraceptivo/etnologia , Emigrantes e Imigrantes , Características da Família/etnologia , Feminino , Humanos , Americanos Mexicanos , México/etnologia , North Carolina , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Gravidez , Gravidez não Planejada/etnologia , Risco , Parceiros Sexuais , Adulto JovemRESUMO
BACKGROUND: Opinions regarding the association between gallbladder disease and oral contraceptive (OCs) differ. The objective of this article is to quantify cholecystectomy rate among women initiating OCs. STUDY DESIGN: Women under the age of 25 years were enrolled at four sites in a randomized trial evaluating initiation of OCs. Hospitalizations while enrolled were elicited during follow-up interviews, and medical records of women who underwent cholecystectomy were reviewed. RESULTS: Of 757 women enrolled at University of Texas Southwestern Medical Center (UTSW), 8 underwent cholecystectomy, a rate of 25.3/1000 woman-years (95% CI=8.1, 42.5). All eight were Mexican American and postpartum when they initiated OCs. The expected rate is 4.2/1000 woman-years for U.S. women aged 15-44. CONCLUSIONS: Women enrolled at the UTSW site had an increased rate of cholecystectomy and were more likely to be postpartum and Mexican American than women enrolled at the other sites.