剖宫产术后再次妊娠的人工流产现状分析  

Analysis of abortion status in repregnant women with cesarean section history

作　　者：陈霞[1] 王金玲[1] 

机构地区：[1]北京市海淀区妇幼保健院,100080

出　　处：《中国妇幼保健》2011年第32期5030-5032,共3页Maternal and Child Health Care of China

摘　　要：目的:了解海淀区妇幼保健院2004年7月～2008年12月剖宫产术后宫内早期妊娠的人工流产现状,为剖宫产术后再次妊娠的高危管理提供依据。方法:对7 355例剖宫产术后再次宫内早期妊娠行人工流产患者的年龄、职业、户籍、文化程度、避孕措施、人流距剖宫产时间等临床资料进行回顾性分析。结果:①剖宫产后各年龄段患者人工流产率(已婚患者为基数)不同,≤25岁及41≥岁组较低,分别为10.15%及11.98%;26～30岁、31～35岁及36～40岁组较高,分别为20.96%、22.52%及22.02%,≤25岁及41≥岁两组与26～30岁、31～35岁及36～40岁三组间比较差异有统计学意义(P<0.000 1);②本地户籍及有固定职业的剖宫产术后患者人工流产率较低,分别为8.79%及9.83%,非本地户籍及无固定职业的剖宫产术后患者人工流产率较高,分别为23.36%及16.84%,经比较差异有统计学意义(P<0.000 1);③小学及以下文化程度者人工流产率低(10.15%),初中及以上各文化程度患者人工流产率较高,分别为20.96%、22.52%及22.02%,小学及以下文化程度与初中及以上各段文化程度比较差异有统计学意义(P<0.000 1);④避孕失败者1 312例,人工流产率5.65%;未避孕者6 043例,人工流产率14.61%,两者间比较差异有统计学意义(P<0.000 1);⑤此次人流距剖宫产时间间隔≤6个月、6+～12个月、12+～24个月及≥24个月的人工流产率分别占总百分比的5.96%、16.07%、42.26%及34.94%。结论:加强对剖宫产术后高危流动人口、高危年龄段患者的管理,大力宣传剖宫产后的避孕知识及非意愿妊娠的危害,剖宫产后半年及时落实安全有效的避孕措施,对降低剖宫产后人工流产率意义重大,从而保障妇女生殖健康。Objective：To learn the abortion status in repregnant women with uterine incision delivery from Jul,2004 to Dec,2008 in our hospital,in order to provide basis of high-risk management on repregnant women with uterine incision delivery.Methods：The clinical information of 7 355 repregnant women with uterine incision delivery were reviewed retrospectively,including ages,occupation,household,education,contraceptive measures and interval between cesarean and abortion.Results：①In different age groups,the abortion rates were different： in younger than 25 years and older than 41 years groups,the rates were 10.15% and 11.98%;in 26~30 years,31~35 years and 36~40 years groups,the rates were 20.96%,22.52% and 22.02%,there was a significant difference statistically between younger than 25 years and older than 40 years groups and 26~30years,31~35 years and 36~40 years groups（P0.000 1）.② The abortion rates of the women with local household and occupation were 8.79 and 9.83%,which were lower than those of the women with non-local household and non-occupation（23.36% and 16.84%）.There was a significant difference statistically between them（P0.000 1）.③For education,the abortion rate for women with primary and illiteracy was 10.15%,which was lower than that of three groups of more than middle school education,the rates were 20.96%,22.52% and 22.02%.There was a significant difference statistically between them（P0.000 1）.④For contraceptive measures,taking contraceptive measures mowen,the abortion cases were 1 312（5.65%）.In no contraceptive women,the abortion cases were 6 043（14.61%）.There was a significant difference statistically between them（P0.000 1）.⑤The interval between cesarean and abortion were less than 6 months,6＋~12months,12＋~24 months and ≥24 months groups,the abortion rates were 5.96%,16.07%,42.26% and 34.94%.Conclusion：To strengthen the management of high-risk floating population,high-risk ages of repregnant,generally publicizing contraceptive knowledge and the abortion

关 键 词：剖宫产史 宫内早孕 人工流产 高危管理 

分 类 号：R719.8[医药卫生—妇产科学] R169.42[医药卫生—临床医学]