人工流产妇女非意愿妊娠的原因及可预测妊娠的比例分析  

Study on the Reasons of Unwanted Pregnancy and Induced Abortion among Women Seeking the Termination of Pregnancy in Shanghai

作　　者：楼超华[1] 赵双玲[1] 涂晓雯[1] 高尔生[1] 

机构地区：[1]上海市计划生育科学研究所,上海200032

出　　处：《生殖与避孕》2000年第4期246-252,共7页Reproduction and Contraception

基　　金：WHO HRP资助

摘　　要：根据对上海市三所妇幼保健院 6 0 6名人工流产妇女的调查资料 ,分析了人工流产妇女非意愿妊娠的原因及可预测妊娠的比例。结果表明 ,人工流产对象中 98.1 8%为非意愿妊娠 ,其中 6 3.70 %为可预测的妊娠。已婚对象非意愿妊娠的主要原因是避孕失败 (73.1 % ) ,其中以安全期失败、体外排精失败和避孕套破裂或脱落为多 ;未婚对象非意愿妊娠的主要原因为未用或未坚持用避孕措施 (5 5 .4% ) ,而未用措施的主要原因是认为自己不会怀孕。意愿妊娠对象做人工流产的主要原因是优生 ,非意愿妊娠中已婚无子女对象的人工流产原因则主要是想晚点生育及工作学习的需要。本文提示 ,提高妇女的避孕措施使用率 。Based on the data from a survey on 606 women who sought the termination of pregnancy in three maternal and children health care centers of Shanghai city, we analyzed the reasons of unwanted pregnancy and the percentage of predictable pregnancy. The results showed that 98.18% of the pregnancies were unwanted, of whom, 63.70% were predictable. The main reason for the unwanted pregnancy among married women was contraceptive failure (73.1%), mostly the failure of rhythm and withdrawal, and the break or shedding of condom; among unmarried women, the main reason was discrete use of contraceptives (55.4%) for the subjects thought the pregnancy would not happen. The main reason for induced abortion among women with wanted pregnancy was that the subjects wanted a health baby, and among women with unwanted pregnancy and without children the reasons were the subjects didn't want a baby so soon and the requirement of study and work. The study indicated that increasing the use of regular contraceptives, encouraging the use of high efficient contraceptives and promoting the use of emergency contraception are three important measures to decrease induced abortion rate.

关 键 词：人工流产 非意愿妊娠 原因 可预测妊娠 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]