温州市1065例育龄妇女人工流产的现状调查

Status quo investigation on induced abortion in 1065 women of childbearing age in Wenzhou

【目的】了解浙江省温州市育龄期接受人工流产妇女的相关行为特征及生殖健康服务需求,为指导如何保护育龄妇女生殖健康提供参考依据。【方法】采用整群随机抽样方法,选择温州市12家医疗机构及妇幼保健机构门诊接受人工流产的1065名育龄妇女进行问卷调查。【结果】≤24周岁者456例(42.82%),≥25周岁者609例(57.18%);高中/中专及以下学历者815例(76.53%),大专及以上者250例(23.47%);未婚妇女448例(42.07%),已婚妇女617例(57.93%);初次流产484例(45.45%),重复流产581例(54.55%)。导致本次人工流产的直接原因中,避孕失败586例(55.02%),未采取任何避孕措施479例(44.98%)。未婚妇女人工流产的直接原因中未避孕244例(54.46%),已婚妇女人工流产的直接原因中避孕失败382例(61.91%),不同婚姻状况妇女导致人工流产的直接原因之间差异有统计学意义(χ2=28.128,P<0.05)。67.51%被调查妇女希望计划生育门诊提供流产后避孕和生殖健康咨询服务。【结论】温州市人工流产的育龄妇女文化程度偏低、重复流产率较高,避孕知识缺乏而对避孕和生殖健康咨询服务的需求较高,因此需改进生殖健康教育方式,普及避孕知识,降低人工流产率,促进生殖健康。

[Objective]To investigate the service needs in relation to the related behavioral characteristics and reproductive health service for women receiving induced abortion in childbearing age in Wenzhou,providing reference for the protection of reproductive health in women of childbearing age.[Methods]A questionnaire survey was conducted among a total of 1065 women of childbearing age who received artificial abortion in 12 medical institutions and maternal and child health care institutions in Wenzhou.[Results]Of the 1065 women,456(42.82%)were under 24 years old,609(57.18%)were over 25 years old.815(76.53%)with high school/technical secondary school degree or below,250(23.47%)with college degree or above.448 unmarried(42.07%),617 married(57.93%).484(45.45%)of first abortion and 581(54.55%)of repeated abortion.Among the direct causes of abortion,244(54.46%)were not contraception,382(61.91%)were contraception failure.There was a significant difference in the direct causes of induced abortion among women with different marital status(χ2=28.128,P<0.05).67.51%of the surveyed women hoped that the family planning clinic would provide contraceptive and reproductive health consulting services after abortion.[Conclusion]Women of childbearing age with induced abortion in Wenzhou have low education level,high rate of repeated abortion,lack of contraceptive knowledge and high demand for contraceptive and reproductive health consulting services.Therefore,it is necessary to improve reproductive health education,popularize contraceptive knowledge,reduce abortion rate and promote reproductive health.