浙东农村人工流产现状分析及避孕服务探讨

Abortion and contraceptive services in rural areas of eastern Zhejiang Province

目的:进一步了解育龄妇女意外妊娠发生的原因、影响因素及生殖健康服务需求。方法:采用自行设计问卷,对意外妊娠妇女进行面对面咨询、访谈,对选择口服短效避孕药患者给予免费提供优思明3盒,每月至门诊复查1次并领取下一盒。结果:603例妇女人流后245例(40.6%)妇女选择节育环为避孕措施,195例(32.3%)妇女接受免费口服避孕药,80例(13.3%)妇女坚持服用至第3个月。文化程度、家庭收入、前次避孕方法、婚姻状况及男伴能否主动避孕与口服避孕药使用有关(P<0.05);是否了解避孕知识及人工流产史对口服避孕药的使用并无影响(P>0.05)。结论:宫内节育器仍是农村已婚妇女的首选避孕措施,经过避孕宣教后,口服避孕药接受度提高,根据不同人群提供针对性的计划生育服务有助于降低重复流产率。

Objective To investigate the causes,impact factors and reproductive health service needs for unexpected pregnancies of women for the purpose of providing post--abortion services, and reducing the incidence of artificial abortion. Methods A self--designed questionnaire was adopted for face--to--face counseling on women of unexpected pregnancies. Patients selecting oral short--acting contraceptives were provided with 3 boxes of Yasmin free of charge, who had an outpatient review per month when they got the next box of Yasmin. Results Of 603 cases of women after abortion, 245 cases （40.6 %） chose the IUD for contraception after abortion, 195 cases （32.3 %） oral contraceptives free of charge, 80 cases （13.3 %） of whom taking Yasmin for 3 months. Education level, household income, previous method of contraception,marital status and whether male partner chose initiative contraception were factors related to the use of oral contraceptive （P〈0.05）. Contraceptive knowledge and history of induced abortion had no correlation with the use of oral contraceptives （P〉0.05）. Conclusions IUD is still the main contraceptive measure for rural married women. After contraceptive health education, acceptance rate of oral contraceptives increases. Provision Of targeted family planning services based on the characteristics of different groups can help reduce repeated abortion rate.