1520例寻求人工流产妇女的避孕实践

Contraception practice of Women Requesting Termination of Pregnancy——A Sutdy from China.

为了探讨寻求人工流产(简称人流)妇女最近和以往避孕使用和避孕失败情况,从1996年3月至1996年5月,对河南省郑州市8家大医院1520例来院寻求人流服务的妇女进行了问卷调查。结果表明,本次意外妊娠最常见的原因是避孕失败(1093例,占71.9％),其中有511例的避孕失败是可以及时确认的,426例由于未避孕而造成意外怀孕。在避孕失败中,避孕套失败占比例最高,为29.7％。大多数人流者(77.1％)以往曾经使用过某种避孕方法。但是仅有19.5％的人在初次同房时使用了避孕方法。以往曾用过避孕套的占57.6％,其中有套失败的占50.9％;曾用过避孕片的占16.8％,其中有过片失败的占58.9％。在避孕套和避孕片失败者中,大多数属于使用失败。曾经有过人流史的高达56.4％。结论:大多数人流者适合使用紧急避孕(EC)方法。使用避孕套和安全期避孕法的人群是EC宣教的重点对象。有必要普及避孕套和避孕片具体使用方法的知识。本项目为美国帕斯适宜卫生科技组织(PATH)资助项目,是PATH小规模资助规划的一部分。

In order to develop a program for prevention of unwanted pregnancies, we conducted a survey of contraceptive practices and reason for contraceptive failure in 1 520 women seeking abortion in 8 large hospitals in Zheng Zhou city .Henan province,P. R. China during a period from March 1996 to May 1996. The most frequent cause of the unplanned pregnancy was contraceptive failure (71. 9/5). 61. 7% ( 938 ) pregnancies were potentially predictable by virtue of nonuse of contraception(427)or by recognition of contraceptive failure(511). Among the contraceptive failures,the proportion of condom mishaps was the highest ( 29. 7%), next was IUD failure (23. 5 % ), then was rhythm miscalculation (15. 9%). Most of abortion seekers ( 77. 1%)had used some contraceptive methods previosly. But only 19. 7% of them used a contraceptive method at the first sex. Among 1 520 abortion seekers,57. 6% had usd condoms previously ,50. 9% of the condom users had at least condom mishap. once, 31. 7%scekers had used rhythm previously, 59. 1% of the rhythm users had at least rhythm failure orce,16.8% seekers used pill, 58. 0% of them had pill failures. A-mong the condom and pill failures .most of them belonged to user failure (poor compliance). 56. 4% abortion seekers had experienced at least one previous abortion. 5. 3% had experienced at least abortions twice. Emergency contraceptive was utilized by only 10 subjects before this pregnancy.