社区育龄妇女重复流产原因调查分析  

Investigation and Analysis of Causes of Repeated Abortion in Women of Childbearing Age in Community

作　　者：陈一红[1] CHEN Yi-hong(The First Affiliated Hospital of Fujian Medical University, Fuzhou 350004,Fujian)

机构地区：[1]福建医科大学附属第一医院,福建福州350004

出　　处：《黔南民族医专学报》2018年第4期264-266,276,共4页Journal of Qiannan Medical College for Nationalities

基　　金：福建省科技计划项目(2016Y6002)

摘　　要：目的:探讨社区育龄妇女重复流产原因及主要人口学特征。方法:应用自制问卷调查表选取重复流产的育龄妇女500例,记录患者基本信息,包含姓名、学历、年龄、职业、婚姻状况、既往人工流产史、本次妊娠原因、避孕措施、对手术的了解等,并将统计所得数据进行汇总应用统计软件分析重复流产患者的人口学特征及主要原因。结果:不同年龄、学历、职业、婚姻状况研究对象重复人工流产比例不同,其中学历在初中及以下、职业为工人或服务业、年龄在20～29岁之间,婚姻状况为未婚的重复流产率相对较高。避孕套是人们选择应用最多的避孕方式,而无避孕措施是导致重复流产的主要因素,其他影响因素主要有药物流产,不重视围术期护理,术后恐惧、紧张、害怕心理以及对手术了解程度较低。结论:未婚妇女人工流产率较高,应适当增加育龄期生殖健康与避孕知识教育,做好围术期护理,降低意外妊娠流产率。Objective:To explore the causes of repeated abortion and the main demographic characteristics of women of childbearing age in the community. Methods:A self-made questionnaire was used to select 500 women of reproductive age who had repeated abortions. The basic information of the patients was recorded, including name, education, age, occupation, marital status, history of previous abortion, reasons for pregnancy, contraceptive measures, and understanding of surgery. Etc., and the statistical data is summarized and statistical software was used to analyze the demographic characteristics and main reasons of patients with repeated abortion. Results:The proportion of repeated abortions in different ages, education, occupation, and marital status was different. Among them, the following groups had higher repeated abortion rate:whose education background was junior high school and below, the occupation is worker or in the service industry, the age is between 20 and 29 years old, and the marital status is unmarried. Using condoms is the most widely used contraceptive method, and no contraceptive measures are the main factors leading to repeated abortion. Other influencing factors are medical abortion, deficient attention to perioperative nursing, postoperative fear, nervousness, fear and not-knowing of surgery. Conclusion:Unmarried women have higher abortion rate. Reproductive health and contraceptive knowledge education during childbearing age should be appropriately increased and perioperative nursing should be strengthened to reduce the accidental pregnancy abortion rate.

关 键 词：重复流产 育龄妇女 意外妊娠 人口学特征 

分 类 号：R714.21[医药卫生—妇产科学]