传统和无痛人工流产术式选择对重复流产的影响  

Impact of painless induced abortion on reproductive health

作　　者：左焕荣[1] 

机构地区：[1]天津市计划生育研究所,300191

出　　处：《中国计划生育学杂志》2012年第1期25-26,29,共3页Chinese Journal of Family Planning

摘　　要：目的:研究无痛人工流产和传统人工流产术式选择对重复流产的影响。方法:选择2009年1～6月在计划生育研究所门诊部要求行人工流产术妇女共324例(无痛人工流产218例、传统人工流产106例)进行跟踪调查一年。调查内容涉及是否有重复流产,重复流产者前次流产后避孕情况及术后恢复性生活时间、两次人工流产间隔、前后两次流产心理状态等。结果:前次行无痛人工流产者重复流产率明显高于传统人工流产组(P<0.05),两组在前次人工流产后避孕情况、术后不足1个月恢复性生活、半年内重复流产及前后两次流产的心理状态上均存在统计学差异。结论:无痛人工流产术虽然解决了术中妇女疼痛问题,但术后存在重复流产率较高的问题,在强调优质流产后计划生育服务时应着重于对无痛人工流产者的术后主动宣教,进行面对面咨询并提供辅助资料、免费药具,以及要求男伴参与,必要时转诊等。Objective： To explore the relationship between repeated abortion and painless induced abortion. Methods： A total of 324 women seeking for induced abortion in Tianjin Research Institute for Family Planning Clinic between Jan. , 2009 and June 2009 were followed up for one year, 218 women in the painless induced abortion group and 106 in the conventional surgi- cal abortion group. The contraceptive use and the time of the first sexual intercourses after the previous abortion, interval and difference of psychological states when seeking for abortions were evaluated. Results ： The repeated abortion rate was much higher in the painless induced abortion group than that in the conventional surgical abortion group （P 〈 0.05 ）. There were significant differences in contraceptive use and the time of the first sexual intercourses after the previous abortion, incidence of repeated abortion, and psychological states when seeking for abortions between the two groups. Conclusion： Painless induced abortion might result in higher repeat abortion rate although it alleviates the pain during the procedure. It is necessary to provide effective post -abortion family planning services, especially to those who have had painless induced abortion.

关 键 词：无痛人工流产 传统人工流产 重复流产 流产后计划生育服务 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]