海南地区1095例非意愿妊娠人工流产女性流行病学调查分析

Epidemiological survey and analysis of 1095 women undergoing induced abortion for unwanted pregnancy in Hainan.

目的了解在海南省市县级计划生育服务机构就诊的人工流产女性分布及其避孕失败的现状,为强化我省避孕节育服务工作提供参考依据。方法随机整群选取海南省部分市县级计划生育服务机构2018年度1095例非意愿妊娠人工流产的资料,收集有关人工流产女性的人口信息、孕育史、避孕方式及失败原因等资料进行分析。结果1095例非意愿妊娠女性年龄主要为30~39岁(577例,占52.69%);已婚者1029例(93.97%),未婚者66例(6.03%);农民656例(59.91%);大专以下学历者651例(59.45%)。初次人工流产组796例(72.6%),主要为30~34岁(230例,占30.3%),大专以下学历者513例(89.2%),农民466例(73.97%);重复人工流产组299例(27.31%),主要为35~39岁(96例,占32.1%),大专以下学历者138例(99.3%),农民113例(67.26%),两组女性在年龄段和学历方面比较差异均有统计意义(P<0.05),但在职业方面比较差异无统计学意义(P>0.05)。避孕失败原因中,未采取避孕节育措施者764例(69.77%);采取避孕节育措施失败者126例(11.5%),其中放置宫内节育器67例,使用避孕套39例,口服短效避孕药11例,使用外用避孕药6例,输卵管结扎术后2例,安全期避孕1例;避孕节育措施不详者205例(18.72%)。人工流产术后即时采取高效避孕节育措施者占5.84%。结论在海南省计划生育服务机构就诊的非意愿妊娠人工流产女性中,以文化程度低和农民为主,未采取避孕节育措施者占多数。应加强育龄人群避孕节育知识的宣传教育和科普工作,做好知情选择服务,提高高效避孕节育措施的使用率。

Objective To understand the distribution of women undergoing induced abortion in family planning service institutions at the city and county level in Hainan Province and the status quo of contraceptive failure,so as to provide reference for strengthening contraceptive services in the province.Methods The data of 1095 women undergoing induced abortion for unwanted pregnancy in 2018 from some family planning service institutions at the city and county level in Hainan Province were randomly selected,and the population information,pregnancy history,contraceptive methods and failure reasons of women who had induced abortion were collected for analysis.Results The 1095 women with unwanted pregnancy mainly aged 30 to 39 years old(577 cases,accounting for 52.69%),including 1029 married cases(93.97%)and 66 cases unmarried(6.03%),656 cases of peasants(59.91%),and 651 cases with college degree or below(59.45%).In the group with first induced abortion(796 cases,accounting for 72.69%),there were 230 cases aged 30 to 34 years old(accounting for 30.3%),513 cases with college degree or below(89.2%),and 466 cases of peasants(73.97%).In the group with repeated abortion(299 cases,accounting for 27.31%),there are 96 cases aged 35 to 39 years old(accounting for 32.1%),138 cases with college degree or below(99.3%),and 113 cases of peasants(67.26%).Between the two groups of women,there was a statistically significant difference in age and education(P<0.05),but no significant difference in occupation(P>0.05).Reasons for contraceptive failure:764 cases did not take contraceptive measures(69.77%);126 cases failed in taking contraceptive measures(11.5%),including 67 cases with IUD placement,39 cases with condom used,11 cases with oral short-acting contraceptives,6 cases with external contraceptives used,2 cases with tubal ligation,1 case with safe period contraception;the contraceptive measures used were unknown in 205 cases(18.72%).5.84%of the women took effective contraceptive measures immediately after induced abortion.Conclusion The majority of the women with induced abortion for unwanted pregnancy attending family planning service institutions in Hainan Province are those with low education level and farmers,the majority of whom did not take contraceptive measures.It is necessary to strengthen the publicity and education of contraceptive knowledge and popular science among the people of reproductive age,provide informed choice service,and improve the utilization rate of efficient contraceptive measures.