围绝经期人工流产妇女避孕现状及影响因素分析

Contraceptive status and the influencing factors of induced abortion of perimenopausal women

目的:分析围绝经期人工流产妇女避孕现状及其影响因素。方法:面对面访谈了解围绝经期人工流产妇女避孕状况,统计分析影响因素。结果:1080例对象中有431例(39.9%)未采取任何避孕措施,499例(46.2%)采取非高效避孕方法,150例(13.9%)采取高效避孕方法。本次意外妊娠的主要原因为未避孕(75.3%)和避孕失败(24.7%)。认为接近绝经期不需要避孕和偶尔一次性生活不会妊娠、避孕方法使用不规范、未按时随访长效避孕措施及采用效果较差的避孕方法为导致本次人工流产的主要影响因素。结论:围绝经期妇女对特殊的生理原因及认知不足,避孕意识薄弱,避孕方法选择和使用不当,长效避孕措施随访管理不到位较为突出,存在未被满足的避孕服务,应关注围绝经期妇女避孕及生殖健康问题。

Objective:To analyze the contraceptive status of perimenopausal women,and to study their influencing factors of induced abortion,so as to provide decision-making evidences for targeted health education and effective intervention measures.Methods:Through face-to-face interview,the contraceptive status of perimenopausal women was analyzed.And the statistic analysis of influencing factors of induced abortion of the women was conducted.Results:Among 1080 perimenopausal women,431(39.9%)of the women had not used any contraceptive measurement,499(46.2%)of the women had used inefficient contraceptive methods,and 150(13.9%)of the women had used high efficient contraceptive methods.The main causes of the unexpected pregnancy of these women were no contraception used(75.3%)and contraceptive failure(24.7%).The main influencing factors of induced abortion of these perimenopausal women included believing no need of contraception during menopause,could not be pregnancy after sexual intercourse once in a while,contraceptive methods used improperly,long-term contraception used without followed up on time,and low efficient of contraceptive methods used.Conclusion:Due to special physiological reasons and insufficient cognition,the perimenopausal women have weak contraceptive awareness,improper selection and using of contraceptive methods,and poor follow-up management of long-term contraceptive measures,and have unsatisfied contraceptive services.So the contraceptive and reproductive health problems of perimenopausal women should be paid attention to,so as to promoting the reproductive health services in the whole life cycle.