上海市人工流产服务利用者流产后保健服务利用现况调查

Investigation on the current situation of post- abortion care service utilization among artificial abortion service users in Shanghai

目的：从人工流产服务利用者角度了解上海市各级医疗机构流产后保健服务利用情况。方法：采取分层按比例随机整群抽样方法,自行填写问卷调查,选择2014年3-5月到上海市各级医疗机构计划生育相关门诊自愿要求施行人工流产的妇女为研究对象。结果：妊娠原因一是为未使用避孕方法,占47.2%,二是使用了避孕方法但避孕失败,占51.8%。流产后服务类型有流产后健康教育服务（61.6%）、流产后咨询服务（46.5%）、知情选择避孕服务（77.4%）及流产后综合生殖健康服务（36.0%）,愿意接受流产后随访服务的比例为64.2%。获取的流产后保健信息最多为流产后注意事项（77.3%）,其次为重复流产的危害（74.4%）、人工流产近期和远期并发症（68.3%）和避孕方法种类（53.5%）,而避孕药具优缺点（21.2%）和性病/艾滋病防治（16.9%）的比例相对较低。医护人员介绍的避孕方法及提供的避孕药具主要为避孕套、口服避孕药和宫内节育器,杀精剂及长效避孕针等较少推荐和提供。47.5%的研究对象被告知避孕药具后续获取途径,93.5%的研究对象对医护人员提供的流产后健康教育与咨询服务比较满意,95.8%的研究对象对避孕药具提供服务比较满意。结论：上海市流产后保健服务为多数人工流产者所利用,需加强流产后保健各环节的服务提供和质量。

Objective： To understand post -abortion care service utilization in medical institutions at all levels in Shanghai from the point of artificial abortion service users. Methods： Stratified cluster random sampling method was used to select the women undergoing artificial abortion of their own in family planning - related outpatient departments in medical institutions at all levels in Shanghai from April to May in 2014, then a questionnaire survey was performed. Results： The causes of pregnancy included absence of contraceptive methods （47.7%） and unsuccessful contraceptive methods （51.8%） . Post - abortion care service included post - abortion health education service （61.6%）, post - abortion consultation service （46. 5% ）, informed choice of contraception （77.4%） and post - abortion comprehensive reproductive health service （36. 0% ）, 64. 2% of the study respondents wanted to receive post - abortion follow - up service. The most fre- quently obtained post - abortion information was post - abortion notice （ 77. 3% ） , followed by the harm of repeated abortion （ 74. 4% ） , post-abortion shortterm and longterm complications （68. 3% ） and the types of contraceptive methods （53.5%）, however, women had a few knowledge about the advantages and disadvantages of contraceptives （ 21.2% ） , prevention and control measures of STD/A1DS （ 16. 9% ） . The contraceptives common introduced and provided by medical workers were condoms, oral contraceptive pills and intrauterine device, spermieide and long - term contraceptive injections were provided less ; 47. 5% of the study respondents were told about the routes to get contraceptives, 93.5% of the study respondents were satisfied with post -abortion health education and consulatation service provided by medical workers, and 95.8% of the study respondents were satisfied with the contraceptives. Conclusion： Post -abortion care service can be used by most women after abortion in Shanghai. Service content and quality of post - abortion care should be improved.