上海市徐汇区2002～2011年计划生育手术状况分析

Trend analyses on family planning operations based on 10 years' hospital monitoring database in Xuhui District of Shanghai

目的:了解上海市徐汇区2002～2011年计划生育手术现状,为计划生育技术服务机构实施避孕节育优质服务提供建议。方法:根据2002～2011年全区12所开展计划生育技术服务的医疗机构的"上海市计划生育手术质量情况报表"进行历年趋势分析。结果:10年间,年计划生育手术从2002年的45353例下降到2011年的38800例;负压吸引手术占计划生育手术总数比例从35.22%逐年上升至43.76%;药物流产术从23.21%逐年下降到13.07%;放置宫内节育器从13.98%逐年下降到10.22%;取出节育器手术从24.79%逐年上升至29.54%;年人工流产手术从27530例下降到23084例,本市户籍妇女人工流产手术所占构成比逐年下降,未婚妇女下降更为明显,而同期非本市户籍妇女人工流产手术所占构成比逐年上升。结论:除负压吸引术外,宫内节育器取出术已成为计划生育工作中重要手术之一。避孕节育生殖健康教育的重点还应包括未婚未育和流动人口。

Objective ： To explore the situation of family planning operations in the last ten years at Xuhui District of Shanghai, and therefore to provide constructive comments on the quality care of family planning services. Methods： A total of 12 hospitals were licensed to conduct family planning operations at Xuhui District. According to the regulation of Shanghai Public Health Bureau, all these hospitals sent the quality report of family planning operations trimestrially to the Maternal and Child Health Institute of Xuhui District which was in charge for monitoring and the quality control. Statistical analyses were conducted by u sing trend Chi square test mainly. Results ： Between 2002 and 2011, the number of annul family planning operation and in duced abortion were reduced from 45 353 and 27 530 to 38 800 and 23 084, respectively. Meanwhile, the proportion of vacu um aspiration and removal of intrauterine device （IUD） were increased from 35.22% and 24.79% to 43.76% and 29.54% , respectively. The proportion of medical abortion and IUD insertion were declined from 23.21% and 13.98% to 13.07% and 10.22% , respectively. Among women who experienced induced abortion, the proportion of women who registered in Shanghai household system was reduced gradually, especially for unmarried women, and the proportion of women who were not regis tered in Shanghai household system was elevated. Conclusion： Besides vacuum aspiration, IUD removal becomes a major part of whole family planning operations. For improving the effectiveness of contraceptives and reducing the risk of unwanted preg nancy, the education program on contraceptive use and reproductive health should also focus on childbearing women who are unmarried and not registered in Shanghai household system.