河北省已婚育龄夫妇长效避孕措施应用调查

Application of long-term contraceptive measures among married couples of childbearing age in Hebei Province

目的：了解河北省已婚育龄夫妇长效避孕措施的应用现况,分析其动态趋势。方法：采取分层整群抽样的调查方法,选取河北省33个省级计划生育药具不良反应固定监测点为本次调查样本点,2011年10月～2013年9月期间调查样本点所有新采取长效避孕措施的已婚育龄夫妇作为本次调查对象。结果：此次调查已婚育龄夫妇13 082对。其中,放置宫内节育器12 775例（97.65%）,女性输卵管绝育术287例（2.19%）,男性输精管绝育术13例（0.1%）,皮下埋植术7例（0.05%）。城镇居民占10.63%,农村居民占89.37%。年龄20～29岁占比最高（75.11%）,无孩占0.15%,已育1孩占70.78%。长效避孕措施占比重最大的为宫内节育器（97.65%）,其余3种长效避孕措施女性输卵管绝育术占2.19%,男性输精管绝育术占0.1%,皮下埋植术占0.05%。各种长效避孕措施使用均随年龄的增加逐渐减少。结论：河北省长效避孕措施中宫内节育器使用率最高。年龄、末次妊娠方式和施术时间对宫内节育器术后不良反应发生存在影响。宫内节育器使用品种趋于合理化、多元化。

Objective：To analyze the current situation of long-term contraceptive measure use and its influencing factors among married couples in Hebei Province in order to find out more safe,appropriate,effective contraceptive technology.A stratified sampling method was used in the survey.Methods：We selected 33 provincial fixed monitoring sites of adverse reactions of family planning devices as the sample points in Hebei Province.Married couples who applied a long-term contraceptive measure from October 2011 to September 2013 were recruited.Results：In 13 082 married couples,12 775（97.65%）used intrauterine device（IUD）,287（2.19%）took ligation of oviduct,13（0.1%）took male vasectomy,and 7（0.05%）used subcutaneous implantation.In this study,urban residents accounted for 10.63%,while rural residents for 89.37%.Respondents aged 20 to 29years accounted for 75.11%.About 0.15%family had no child,and one-child.According to the last delivery way,natural labor accounted for 58.46%,while caesarean for 41.55%.Among the long-term contraceptive measure use,IUD insertion was taken up by the largest proportion who accounted for 97.65%,and ligation of oviduct accounted for 2.19%,male vasectomy for 0.1%,subcutaneous implantation for 0.05%.The long-term contraceptive measure use was decreased gradually with the increase in age.Conclusion：In long-term contraceptive measure use,IUD is inserted by the largest people in Hebei Province.Age,the last delivery way and the operation time are correlative with adverse reactions of IUD.The varieties of IUD tend to rationalization,diver sification. We should guide the married couples to select the appropriate contraception by themselves,and should strengthen the scientific and standardized management of long-acting contraception operations in health care sectors.