摘要
目的:探讨流产后关爱(PAC)服务对高危人工流产后高效避孕方法使用情况的影响。方法:选取本中心门诊2016年10月—2017年3月因非意愿妊娠行人工流产并接受PAC服务的2066例女性,根据有无人工流产高危因素分高危组982例,非高危组1084例,比较两组术后即时及术后3,6个月高效避孕方法的使用率及术后6个月内重复流产率。结果:人工流产女性中高危女性47.5%,高危因素前3位分别为有重复流产史、剖宫产术后1年内和年龄≤20岁。术后高效避孕方法即刻落实率高危组(94.5%)高于非高危组(90.4%)(P>0.05);本次意外妊娠避孕失败的原因主要为使用低效避孕方法;两组即时及术后3,6月IUD/IUS落实率两组有差异(P<0.05);COC使用率高危组高于非高危组(P<0.05),且两组术后第3,6个月使用率与术后即时相比明显减少(P<0.05);高危组术后3个月内重复流产率低于非高危组(P<0.05)。结论:高危人工流产比例较大,通过PAC服务可促进高危人工流产妇女术后使用高效长效避孕方法,降低6个月内重复流产率,促进女性生殖健康。
Objective： To investigate the impact of post abortion care （PAC） services on the use of effective contraeep tive of women who experienced high risk induced abortion. Methods： A total of 2066 women who had undergone abortion due to unintended pregnancy in women＇s and children＇s medical center of Guangzhou from October 2016 to March 2017 were selected and were divided into two groups, which included 982 women experienced high risk induced abortion were in group A and 1084 women experienced abortion without high risk factor were in group B. The high risk fac tors and causes of contraceptive failure of all women were analyzed, and the rate of effective contraception used, rate of effective contraception continually used, and the rate of repeated abortion immediately and 3, 6 month after abortion were compared between the two groups. Results： 47.5 % induced abortion had high risk factors, and the top three risk factors were repeated abortion, post caesarean section abortion, and under 20 years old when abortion. PAC services were provided for all women in both groups, and the rate of implementation of high effective contraception post abortion immediate was high in both groups, and the rate in group A was 94.5%, which was higher than that in group B （90.4%）, however, there was no significant difference between the two groups （P〉0.05）. The occurrence of unex pected pregnancy after contraceptive failure was mainly due to the use of low effective contraceptive methods. The rate of COC used post abortion immediate and at 3 and 6 months after abortion in group A was significantly higher than that in group B （P〈0.05）, but the rate of COC used at 3 and 6 months after abortion decreased in both groups, which was significantly lower than that post abortion immediate （P〈0.05）. The repeated abortion rate within the 6 months after abortion in group A was significantly lower than that in group B （P〈0.05）. Conclusion： Women with high risk induced abortion accounts for a relatively large proportion in abortion women. PAC services can promote the use of high efficient contraception after abortion, can improve continuation rate of contraception in short time after abortion, can reduce the recurrent abortion rate within 6 months after abortion, and can enhance reproductive health of women.
作者
林佩萱
伍海鹰
屈艳霞
唐盈
桂月娥
龙海晶
岺婉仪
马新中
LIN Peixuan;WU Haiying;QU Yanxia;TANG Yin;GUI Yuee;LONG Haijing;CEN Wanyi;MA Xinzhong(Guangzhou Women and Children Medical Center, Guangzhou, Guangdong ,510180)
出处
《中国计划生育学杂志》
2018年第6期530-532,共3页
Chinese Journal of Family Planning
关键词
高危人工流产
高效避孕方法
流产后关爱服务
落实率
High risk abortion
Efficient contraception
Post abortion care services
Implementation rate
