四川省2017例计划生育药具应用现状和不良反应调查

Study on the Application Situation and Adverse Effects of Contraception Instruments of 2,017 Cases in Sichuan Province

目的:保障育龄群众获得安全、有效的药具,为计划生育药具(以下简称药具)推广、宣传咨询、发放随访提供依据。方法:调查分析4县2017例育龄妇女使用药具现状和不良反应发生情况,以调查问卷方式进行定性分析。结果:多数服务对象感觉所使用药具无质量问题,少数服务对象有经量改变、白带量改变、腰痛、下腹痛、类早孕等不良反应,经医院、计划生育服务站对症处理或自行消失。大多数服务对象对宣传咨询、发放随访表示满意,希望增加政府采购药具品种、增加发放方式和上门服务、增加生殖健康知识宣传内容和形式、流动人口享受属地化市民化生殖健康服务。结论:加强药具、生殖健康知识宣传品制作,拓展宣传渠道,提高新型药具信息咨询能力和科技含量;加强药具推广发放、不良反应监测、个性化服务和引进药具新品种;加强流动人口属地化、市民化服务。

Objective： To ensure the gain of safe and effective contraception instruments for reproductive aged people, and provide reference for the instruments generalization, propaganda, consulation, distribution and follow - up visit. Methods： Questionnaire survey and qualitative analysis were adopted. The application situation and adverse effects of contraception instruments of 2,017 reproductive aged women from 4 countries were investigated. Results ： The majority of clients used contraception instruments with no discomfort. And a few clients suffered the following adverse effects ： the change of menstrual and leucorrhea volume, lumbodynia, hypogastralgia and sim - early pregnancy reaction, and so on. These symptoms reverted spontaneously or disappeared ＇after expectant treatment. And most of the clients were satisfied with the service of propaganda, consulation, distribution and follow - up visit. They suggested that the government should add the types of contraception instruments, increase the ways of instruments distribution and door - to - door service, enrich the contents and styles of the propaganda for reproductive health knowledge, and provide the same reproductive health service to the floating population as the local population received. Conclusion： The government should strengthen the development of propaganda materials of instruments and reproductive health knowledge, expand the propaganda channels, improve the information consulation ability and the scientific and technical contents, enhance the monitoring of adverse effects, advocate individualized service, introduce new types of instruments, and promote the pervasion of local and public service for floating population.