未婚先孕中孕引产女性延迟终止妊娠原因的分析  

Clinical research on causes of delayed termination of pregnancy in pre-married pregnant women with induced abortion at mid-pregnancy

作　　者：胡宗琼[1] 赵铀[1] 未欢 向瑛[1] HU Zongqiong;ZHAO You;WEI Huan;XIANG Ying(Mianyang Municipal Maternal and Child Health Care Hospital,Mianyang,Sichuan 621000,China)

机构地区：[1]四川省绵阳市妇幼保健院妇产科,621000

出　　处：《重庆医学》2018年第21期2825-2827,共3页Chongqing medicine

基　　金：四川省绵阳市基金资助项目(201681)

摘　　要：目的探讨未婚先孕早发现早处理方法,减少中孕引产发生率,降低个体伤害程度。方法选择该院2012年1月至2016年12月收治的72例未婚先孕中孕引产女性为研究对象,住院期间以问卷形式收集研究对象的年龄、文化程度、职业、首次性生活时间、此次怀孕是否为意外伤害、妊娠生育史、避孕方式、入院时孕周、此次确诊妊娠时孕周、延迟终止妊娠原因,进行分析整理。结果早孕期间确诊妊娠但因害怕未告诉父母或监护人最后被父母或监护人发现15例(20.8%),早孕期间确诊妊娠但因害怕未告诉父母或监护人被父母或监护人以外的人发现12例(16.6%),知道怀孕想要结婚但男方不同意11例(15.3%),临床误诊(15.3%),知道怀孕想结婚但女方父母阻拦10例(13.9%),工作学习安排需要(12.5%),知道怀孕不知男方行踪4例(5.6%)。有避孕措施但不规范避孕35例(48.6%),未采取避孕措施32例(44.5%),规范避孕失败5例(6.9%)。结论常态化让育龄妇女掌握早孕知识、避孕知识、终止妊娠知识,家庭常态化关心女孩的月经情况,可以减少非意愿性妊娠,减少未婚先孕中孕引产发生率。Objective To explore the early discovery and early treatment methods of pre-married pregnancy for reducing the incidence rate of induced abortion at mid-pregnancy and decreasing the degree of individual injury.Methods Seventy-two cases of pre-married pregnancy terminated by induced abortion at mid pregnancy in this hospital from January 2012 to December 2016 were selected as the study subjects.During their stay in hospital,the data of age,educational level,occupation,time of first sexual life,accidental injury at this pregnancy,pregnancy and fertility history,contraceptive methods,gestational age at admission to hospital,gestational weeks at this diagnosed pregnancy and reasons for delayed pregnancy termination were collected from the study subjects,and then analyzed and sorted out.Results Fifteen cases(20.8%)of pregnancy were diagnosed at early pregnancy,but feared to tell their parents or guardians and finally were found out,and 12 cases(16.6%)were diagnosed as early pregnancy,but feared to tell their parents or guardians and finally were found out by other people,11 cases(15.3%)knew their pregnancy and wanted to marry,but the male side did not agree with marriage,clinical misdiagnosis accounted for 15.3%,10 cases(13.9%)were aware of pregnancy and wanted to marry,but the parents blocked,job and learning arrangement requirements accounted for(12.5%),4 cases(5.6%)knew their pregnancy,but did not know the male side′s track.Thirty-five cases(48.6%)had contraceptive measures,but the contraception was not standardized,32 cases(44.5%)failed to take contraceptive measures,5 cases(6.9%)failed in standardized contraception.Conclusion The normalization lets women of childbearing age to master the knowledge of early pregnancy,contraception and terminal pregnancy,the family normalization for concerning about the normal state of girl's menstruation can reduce the non-willing pregnancy,thereby decreases the incidence rate of induced abortion at mid pregnancy in pre-married pregnancy.

关 键 词：妊娠中期 避孕 未婚先孕 延迟终止妊娠 早孕知识:避孕知识 

分 类 号：R719.3[医药卫生—妇产科学]