紧急避孕在天津  

The emergency contraception service in Tianjin China

作　　者：程渭玉[1,2] 岳宝荣[1,2] 杨云华[1,2] 林农 

机构地区：[1]天津市计划生育研究所 [2]世界卫生组织人类生殖研究合作中心

出　　处：《生殖医学杂志》1997年第2期67-71,共5页Journal of Reproductive Medicine

摘　　要：为在天津开展紧急避孕服务，通过报纸、电视台、传单、座谈会、黑板报、义诊和热线电话等多种形式向广大群众积极宣传了紧急避孕的知识；同时发挥三级计划生育网的作用，在医院、诊所、公园、商场、工厂、街道及学校等场所向３０００多名妇女提供了紧急避孕咨询。在此基础上，按科研课题设计的条件，收治了２５０名要求紧急避孕的妇女，其中采用米非司酮治疗１５０名中１名妊娠；Ｙｕｚｐｅ／左旋１８甲基炔诺酮治疗１００名中３名妊娠，总失败率为１．６％。认为积极宣传紧急避孕知识，使广大妇女能普遍了解和应用紧急避孕法，方能防止绝大多数非意愿的妊娠。Objective: To provide the experience of emergency contraception service. Design: A clinical service trial. Setting: Outpatient department of TMRIFP. Subjects: 250 women requesting emergency contraception were recruited from May 1994 to May 1996.Most of them attended this trial within 72 hours after intercourse,only a few came between 73￣120 hours after coitus. Methods: On the basis of actively publishing the knowledge of emergency contraception and giving full play of the family planning network,the three kinds of safe and effective methods of mifepristone,Yuzpe regimen and levonorgestrel were provided for emergency contraception.250 women requesting emergency contraception were treated in our outpatient department.The acceptability and efficacy of emergency contraception service was observed. Results: Many forms such as the newspaper,television,leaflet,forum,blackboard bulletin and telephone etc.were adopted to widespreadly publicizing the knowledge of emergency contraception.More than 3 000 women consulting the emergency contraception were received.The data of treatment with emergency contraception for 250 women were come from two different studies:(1)using mifepristone for 150 women there was one pregnancy;(2)using Yuzpe/levonorgestrel for another 100 women there were three pregnancies,giving a total failure rate of 1.6%.Through the publicity and conduct of emergency contraception,many women were aware of the benefit of proventing unwanted pregnancies and visited us for emergency contraception more and more early. Conclusion: The emergency contraception is safe and effective method and can prevent unwanted pregnancy.An active publicity of the knowledge on emergency contraception is indispensable to reproductive health.The family planning programme should provide emergency contraception service as a part of their routine services.

关 键 词：避孕 米非司酮 乙炔雌二醇 甲基炔诺酮 紧急避孕 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]