摘要
在我国生育政策放宽的背景下,人口出生率和人口出生数双双下降,但人工流产总数持续居高不下,使得人工流产对女性再次妊娠的影响在我国备受关注。本文从生殖流行病学视角,探讨人工流产对女性再孕能力,以及对自然流产、早产、低出生体质量、小于胎龄儿等不良妊娠结局的影响,并从研究设计、对照组的选择、统计方法、潜在研究方向提出了一些问题和建议,以期为女性生育力保护提供决策依据。
In the context of the relaxation of China's population policy with the declines of both the birth rate and number of births in recent years,the number of induced abortion continues to be high,which makes the impact of induced abortion on women's subsequent fertility and pregnancy outcomes becomes an important public concern.This review evaluated the potential impacts of induced abortion on women's subsequent fertility(in terms of subsequent pregnancy,secondary infertility,and treatment seeking of in vitro fertilization)and adverse pregnancy outcomes,including preterm birth,low birth weight,and small gestational age.Some limitations regarding the study design,control selection,and statistical methods of included studies were discussed,and future study topics were proposed in this paper.
作者
车焱
Che Yan(NHC Key Lab of Reproduction Regulation(Shanghai Institute for Biomedical and Pharmaceutical Technologies),Shanghai 200237,China)
出处
《中华生殖与避孕杂志》
CAS
CSCD
北大核心
2023年第1期23-30,共8页
Chinese Journal of Reproduction and Contraception
基金
上海市2021年度“科技创新行动计划”科普专项(21DZ2305800)。
关键词
流产
人工
妊娠结局
流行病学
女性
再次受孕
Abortion,induced
Pregnancy outcome
Epidemiology
Female
Subsequent fertility
