某地区流动人口女性重复人工流产、避孕状况及服务需求研究

Research on the Female Recurrent Population's Repeated Induced Abortion Conditions, Contraception Conditions and Service Demands in Urumqi City

目的探讨乌鲁木齐市地区流动人口女性重复人工流产、避孕状况及服务需求。方法采用普查法对2016年12月—2017年12月我院收治的420例流动人口人工流产患者作为研究对象,其中筛查出208例为重复人工流产患者,对其进行问卷调查。分析其避孕状况、服务需求情况。结果 420例流动人口女性中,出现重复人工流产208例,发生率为49.5%;流产次数为2～5次,平均(2.54±0.86)次;与上次流产间隔时间3～13个月,平均(9.68±0.73)个月;妊娠的原因:避孕失败47例,未行避孕95例,避孕套破裂25例,其他41例;以避孕套为主要避孕措施,占80.8%;避孕措施以偶尔使用为主,占53.8%;配偶避孕态度以积极为主,占66.3%;避孕知识需求程度以需要为主,占80.3%;避孕咨询需求占比为80.7%;避孕知识获取途径以医务人员为主,占74.0%,宣传材料占比为53.8%。结论本地区重复人工流产状况不容忽视,应加强避孕宣教和认知教育。

Objective To discuss the female recurrent population’s repeated induced abortion conditions, contraception conditions and service demands in Urumqi city. Methods Through the Census method, 420 female recurrent population of taking the induced abortion from December 2016 to December 2017 in our hospital were selected; the questionnaire was delivered of which 208 cases of repeated induced abortion were screened; The contraception conditions and service demands were analyzed. Results There were 208 cases of repeated induced abortion（49.5%）; the abortion frequency was 2~5 times; The average abortion frequency was（2.54±0.86） times. The interval time with the last abortion was 3~13 mon; The average interval time was（9.68±0.73）mon. There were 47 failed contraception cases, 95 non-contraception cases, 25 broken condom cases and 41 other cases. The rate of taking the condom, occasionally using the contraception measures, having the spouse’s positive attitude towards the contraception measures, asking for the contraceptive knowledge, asking for the contraception counselling, acquiring the contraceptive knowledge from the medical staff and publicity materials was 80.8%, 53.8%, 66.3%, 80.3%, 80.7%, 74.0% and 53.8%, respectively. Conclusion The female recurrent population’s repeated induced abortion conditions can’t be ignored. Therefore, it is necessary to strengthen the propaganda and cognition of contraception knowledge.