摘要
目的:了解20~35岁育龄女性人工流产及避孕现状,调查流产后关爱(PAC)服务对20~35岁育龄女性人工流产术后高效避孕措施选择的影响,为进一步优化PAC服务效果提供参考依据。方法:回顾性研究2022年7月1日-2023年6月30日因非意愿妊娠而选择人工流产术终止妊娠年龄20~35岁的育龄女性为研究对象,给予PAC服务咨询和随访,分析术后即时和术后1、3、6个月高效避孕措施落实情况,以及术后6、12个月的再次意外妊娠发生率。结果:共纳入行人工流产手术的20~35岁育龄女性1484人次,重复人工流产763例(51.4%),且以已婚、已育女性为主。术后半年内再次发生意外妊娠28例(1.9%),1年内再次发生意外妊娠52例(3.5%)。PAC服务实施背景下人工流产术后选择复方口服避孕药(COC)和放置宫内节育器(IUD)/宫内缓释系统(IUS)高效避孕方法较术前均显著增加,选择避孕套等其他措施较术前显著降低,差异均有统计学意义(均P<0.05)。人工流产术后1、3、6个月高效避孕措施的续用率分别为94.4%、94.2%、93.9%,续用率稳定,其中COC续用率缓慢下降(68.5%、65.9%、65.3%),IUD/IUS续用率缓慢上升(25.9%、28.3%、28.6%),差异均有统计学意义(均P<0.05)。使用COC的重复流产人数少于首次流产人数,使用IUD/IUS的重复流产人数多于首次流产人数,差异均有统计学意义(P<0.05)。结论:20~35岁育龄女性重复人工流产率高,高效避孕措施使用率低,优质的PAC服务能显著提升COC和IUD/IUS等高效避孕措施的即时落实率及续用率、降低再次意外妊娠的发生率。
Objective: To understand the current status of the induced abortion of childbearing age women with 20 to 35 years old, and to study the influence of post-abortion care(PAC) services for the women on their selection of the high-efficiency contraceptive measures after induced abortion, so as to provide the reference evidences for further optimizing PAC services. Methods: A retrospective study was conducted on the women of childbearing age aged 20-35 years who had accepted the termination of their unintended pregnancy from July 1, 2022 to June 30, 2023. PAC service consultation and follow-up were given to these women, and the implementation rates of the high-efficiency contraceptive measures of the women immediately after abortion and in 1, 3, and 6 months after abortion, and the incidence of the unintended pregnancy of the women in 6 and 12 months after abortion were analyzed. Results: A total of 1484 person-time of the women aged 20 to 35 years old who underwent induced abortions were included, and 763(51.4%) women had repeated abortions. Among these women, most of them were married and had given birth. There were 28(1.9%) women with unintended pregnancy again within 6 months after abortion, and 52(3.5%) women with unintended pregnancy again within 1year after abortion.Under the background of PAC service implementation,the using of the high-efficiency contraceptive methods,such as combined oral contraceptives(COCs)and intrauterine device(IUD)/intrauterine sustained release system(IUS)inserted,of the women had significantly increased compared with those before abortion,but the selection of the other contraceptive measures,such as condom,of the women had significantly decreased compared with those before abortion(all P<0.05).The rates of the high-effective contraception continuous used of the women in 1,3,and 6months after abortion were 94.4%,94.2%and 93.9%,respectively,and the continuous using rate remained stable.The continuous using rate of COC of the women in 1,3,and 6months after abortion were 68.5%,65.9%,and 65.3%,respectively,and which had slow decreased significantly,but the continuous using rate of IUD/IUS in 1,3,and 6months after abortion were 25.9%,28.3% and 28.6%,respectively,and which had slow increased significantly(all P<0.05).The number of the repeated abortions of the women with COC used was significantly less than that of the women with the first abortion,and the number of the repeated abortions of the women with IUD/IUS used was significantly more than that of the women with the first abortion(P<0.05).Conclusion:The childbearing age women with 20-35years old have the high rate of the repeated abortion and the low rate of the high-efficiency contraceptive measures used.The high-quality PAC service for the women of childbearing age can significantly improve their immediately implementation rate after abortion and the continued rate of the high-efficiency contraceptive measures,such as COC and IUD/IUS,and which can reduce the incidence of the unintended pregnancy again of the women.
作者
阿丽萍
周学芳
顾志乐
杨珺
曹译丹
张杰
杨夏丽
A Liping;ZHOU Xuefang;GU Zhile;YANG Jun;CAO Yidan;ZHANG Jie;YANG Xiali(The First People's Hospital of Yinchuan,The Second Clinical Medical College of Ningxia Medical University,Yinchuan,Ningxia Hui Autonomous Region,750001;Ningxia Medical University,Yinchuan)
出处
《中国计划生育学杂志》
2025年第2期479-483,488,共6页
Chinese Journal of Family Planning
基金
宁夏医科大学科研基金资助项目(XM2022073)
银川市科技局支撑项目(2023SF16)。
关键词
人工流产
流产后关爱
20~35岁育龄女性
高效避孕措施
Induced abortion,Post abortion care
Women of reproductive age between 20 and 35 years old
High-efficiency contraceptive measures
