流产后避孕咨询服务及随访制度在非意愿妊娠女性中的干预效果

Intervention effect of post-abortion contraceptive counseling service and follow-up system in women with unwanted pregnancy

目的评价流产后避孕咨询服务及随访制度在落实避孕措施及降低再次人工流产中的作用。方法选取2015年1月～2016年12月在我院门诊就诊的共330例人工流产女性作为研究对象,进行流产后避孕咨询服务及术后1、3、6、12个月随访,对术后避孕措施的落实及再次人工流产情况进行评估。结果研究对象对避孕知识的了解程度较低,未采取避孕措施者231例,避孕失败者99例,经过流产后避孕咨询服务,术后随访避孕措施落实率较高,12个月随访结果显示,累计置环避孕169例,皮下埋植避孕12例,口服避孕药10例,避孕套避孕65例,未避孕或采取其他方式避孕者41例,再次人工流产31例,失访39例。结论开展流产后避孕咨询服务及术后随访制度,可以促进避孕措施的有效落实,降低再次人工流产风险。

Objective To evaluate the role of post-abortion contraceptive counseling service and follow-up system after artificial abortion in the implementation of contraceptive measures and the reduction of re-abortion. Methods A total of 330 cases who had artificial abortion in the outpatient department of our hospital From January 2015 to December 2016 were selected as study objects. They were provided with post-abortion contraceptive counseling service and follow-up at 1 month, 3 months, 6 months and 12 months after abortion. The implementation of contraceptive measures and re-abortion were investigated. Results A total of 330 subjects had a low understanding of contraceptive knowledge, and 231 cases did not take contraceptive measures, contraceptive failure was in 99 cases. After abortion contraceptive counseling services and follow-up, the rate of using contraceptives was high. The 12th month follow-up results showed that intrauterine contraceptive devices was used in 169 cases, subcutaneous implantations was used in 12 cases, oral contraceptives was used in 10 cases, condoms was used in 65 cases, other contraceptives or non-contraceptive was used in 41 cases, 31 cases of re-abortion, and 39 cases of total loss of follow-up. Conclusion Carrying out post-abortion contraceptive counseling service and follow-up system after abortion can promote implementation of contraceptive measures, and ultimately reduce the risk of re-abortion.