人工流产女性非意愿妊娠现状调查分析  

Investigation and analysis of unintended pregnancy in induced abortion

作　　者：潘彩君[1] 王建梅[1] 邱小楠[2] 王琪娜[1] 周维谨[2] 

机构地区：[1]天津医科大学第二医院计划生育科,天津300021 [2]复旦大学生殖与发育研究院上海市计划生育科学研究所,生殖流行病学与社会医学研究室/国家人口和计划生育委员会计划生育药具重点实验室,上海200237

出　　处：《中国计划生育和妇产科》2017年第3期68-71,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的了解天津地区人工流产女性非意愿妊娠的现状,减少女性非意愿妊娠和重复流产的发生,维护和促进女性生殖健康。方法采用现况调查的方法,对天津医科大学第二医院计划生育科8 745例要求人工流产的女性进行问卷调查。主要调查内容包括一般人口学特征、人工流产情况以及非意愿妊娠原因等情况。以人工流产次数≥2次的患者为病例组,只有1次人工流产的患者为对照组,进行病例-对照研究。结果 8 745例人工流产患者,其中重复流产者共5 648例,占65.2%;在重复流产者中,≥3次者占全部对象的33.0%。患者意外妊娠原因主要为未避孕(50.1%)和避孕失败(34.4%)。多因素分析显示,年龄大者(OR=2.38,95%CI:2.10~2.69)和有过生育者(OR=1.50,95%CI:1.32~1.70)发生重复流产的风险较高。结论我国育龄妇女人工流产率及重复人工流产率均较高,应进一步开展人工流产后关爱服务,促进高效避孕方法的使用,从而保障女性身心健康。Objective To investigate unintended pregnancy status among induced abortion women in Tianjin, so as to reduce the number of unintended pregnancies and repeated miscarriage and to promote reproductive health of women during childbearing age. Methods An anonymous cross - section survey was conducted among 8 745 induced abortion women in family planning department of Second Hospital of Tianjin Medical University. General demographic characteristics, abortion status and cause of unintended pregnancy were described. All women were divided into 2 groups according to number of induced abortion, with women undergoing at least 2 times induced abortion as the case group and women undergoing induced abortion for the first time as the control group. Results A total of 8 745 women were identified, including 5 648 cases of repeated miscarriage accounting for 65.2%. Among repeated miscarriage cases, women undergoing at least 2 times induced abortion accounted for 33.0%. The main causes for induced abortion were not taking contraceptive measures （50. 1% ） and contraceptive failure （34.4%）. Multiple analysis indicated age （OR = 2.38, 95% CI： 2. 10 - 2. 69 ） and a fertility history （ OR = 1.50, 95 % CI ： 1.32-1.70 ） were related to repeated miscarriage. Conclusion The induced abortion rate and repeated miscarriage rate of women during childbearing age in Tianjin was relatively high. It was necessary to optimize post abortion care （PAC） among women during childbearing age, especially to promote the use of efficient contraceptive measures.

关 键 词：人工流产 非意愿妊娠 重复流产 避孕方式 生殖健康 

分 类 号：R715.2[医药卫生—妇产科学]