流产后避孕咨询与教育对人工流产后妇女避孕行为的影响初探

Evaluation of effect of post-abortion contraceptive counseling and education on contraceptive behavior of abortion women

探讨对人工流产术后女性加强流产后避孕咨询与教育对其避孕行为的影响。选择2011年8月1日—2011年9月30日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200人,进行术后常规处理(常规处理组)。选择2011年10月25日—2012年4月10日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200人,流产后常规处理并加强避孕咨询与教育(加强干预组),两组均于术后1个月、3个月、6个月进行随访调查。常规处理组和加强干预组半年后随访率分别为46%,71.5%(P<0.01)。常规处理组和加强干预组流产后4周内性生活的恢复率分别为10.8%,3.5%(P<0.05);半年内加强干预组避孕行为的正确率高于常规处理组(P<0.01),而且其避孕套、复方口服避孕药(COC)和节育环等现代避孕措施的使用率高于常规处理组(P<0.01),安全期和体外排精等传统避孕方法使用率低于常规处理组(P<0.01);常规处理组和加强干预组非意愿妊娠率分别为7.0%,1.5%(P>0.05)。研究表明,及时通过加强流产后避孕咨询与教育,能提高人工流产后女性的避孕意识,增加避孕知识,提高正确避孕措施的使用率,更好地促进了女性的生殖健康。

To evaluate the effect of post-abortion contraceptive counseling and education（PACE） on contraceptive behavior of abortion women,200 women who had abortion in the West China Second University Hospital form August 1st 2011 to September 30th 2011 were treated with conventional treatment（conventional group）,200 women who had abortion form October 25th 2011 to April 10th 2012 were treated with PACE（intervention group）. The effect of the intervention of PACE by comparison was evaluated at one month,three months and six months after abortion. The six months follow-up rate of the conventional group and intervention group were 46 %,71.5 %,respectively（P〈0.01）. Compared with the rate of 10.8 % of respondents who started sex lives in four weeks after abortion in conventional group,that of the intervention group was 3.5 %（P〈0.05）. It was better for intervention group than conventional group on using contraceptive methods correctly（P〈0.01）. The rates of modern contraceptive（such as condom,oral contraceptive pills and intrauterine devices）usage of the intervention group is significant higher than that of the conventional group（P〈0.01）. The incidence of unplanned pregnancy（1.5 %） in the intervention group is lower than that in the conventional group（7.0 %）（P〉 0.05）. Timely post-abortion contraceptive counseling and education is effective for abortion women to strengthen their contraceptive awareness,increase contraceptive knowledge and use correct contraceptive methods and results in promoting the women＇s reproductive health.