杭州地区人工流产现状分析

目的分析杭州市萧山区人工流产现状，以利更好开展生殖健康服务。方法观察对象为2014年1月1日至2016年12月31日行人工流产手术的全部妇女，相关信息均源自医院流产后关爱（PAC）数据库，描述人工流产人群特征，按婚育情况分为已婚已育组、已婚未育组、未婚未育组三组，并比较三组人群在年龄、意外妊娠原因、既往避孕方式、高危人流率、既往流产次数等方面的统计学差异。结果纳入观察对象共8930例，其中已婚已育6380例（71．4％），已婚未育580例（6．5％），未婚未育1970例（22．1％）。停经天数平均（54．95±13．28）d；平均年龄（28．59±6．29）岁。已婚已育组占人工流产群体比例、〉2次重复流产率、避孕意识高于另两组，高危人流率未婚未育组明显高于另两组，但未育组采用低效避孕措施的比例明显高于已婚已育组（p值均〈0．001）。结论针对已婚已育者生殖健康工作重点在于强调落实长效避孕，针对未育者工作重点则在于强调落实高效避孕。

Objective To analyze the current status of induced abortion in Hangzhou area in order to launch better reproductive health service. Methods All the patients underwent induced abortion from January 1, 2014 to December 31, 2016 were selected as subjects, all the relative information were extracted from the PAC （ post abortion care ） database, and the population characteristics of all the subjects were described. The statistical differences on age, reason of unexpected pregnancy, contraceptive methods, whether or not high-risk abortion and number of abortions in the past among the three groups were compared, which were classified by marital status and pregnant history, including married with children, married without children, not married. Results The total number of identified subjects was 8930, the number of married with children, married without children, not married was 6380 （ 71.4% ） , 580 （ 6.5% ） , 1970 （ 22.1% ） respectively. Mean age was （ 28.59± 6.29 ） , mean number of menopausal days was （ 54.95 ± 13.28 ） . The number of high-risk abortion was 562 （ 6.3% ） . Failure of contraception was 5051 （ 56.6% ） , no contraception was 3879 （43.4%） . The number of no abortion, one abortion, twice abortion, more than twice abortion were 2286 （ 25.6% ） , 2415 （27.0%） , 2348 （26.3%） , 1881 （21.1%） respectively. The proportion of the married with children in all the subjects, the repeated abortion rate land the awareness of contraception of the married with children was higher than that of the other two group, while the adoption of low-effective contraception was lower than that of the other two group, and the high-risk abortion rate of the not married was highest （P〈0.001） . Conclusion There is difference between the married with children and the married without children nor not married on the proportion, repeated abortion rate, the awareness of contraception, high-risk abortion and the adoption of contraception. We should focus the work on carrying out longterm contraception on the married with children and high-effective contraception on the women without children.