流产后关爱服务对高效避孕措施落实和使用情况的影响  

Influence of post-abortion care services on the using and continue using of highly effective contraception

作　　者：梁慧聪 黄飞燕 吴少敏[1] LIANG Huicong;HUANG Feiyan;WU Shaomin(Dongguan People's Hospital, Guangdong Province, 523000)

机构地区：[1]广东省东莞市人民医院,523000

出　　处：《中国计划生育学杂志》2021年第12期2708-2710,共3页Chinese Journal of Family Planning

摘　　要：目的:探讨流产后关爱(PAC)服务对高效避孕措施落实和使用情况的影响。方法:2019年4月-2020年3月以常规提供PAC服务的本院万江总院接收的人工流产妇女为观察组(1250例),以尚未开展PAC服务的本院普济分院接收的人工流产妇女(1250例)为对照组,比较两组术后高效避孕措施落实及续用情况。结果:观察组人工流产后高效避孕措施落实率较对照组高[95.0%(1187/1250)比17.1%(214/1250),P<0.05],其中观察组有高危因素者落实率为97.3%(569/585)。术后随访1,3,6个月,观察组短效复方口服避孕药(COC)续用率分别为98.9%、69.4%、6.1%;对照组分别为99.2%、56.0%、42.0%,观察组中有高危因素者术后6个月COC续用率为88.2%。观察组术后放置宫内节育器(IUD)落实率较对照组高(34.6%比7.5%,P<0.05)。术后1,3,6个月续用率分别为100%、99.1%、99.4%,对照组术后1,3,6个月IUD续用率分别为100%,100%,98%,两组无显著差异(P>0.05)。术后6个月观察组新增放置IUD 53例,其中39例为有高危因素者;对照组新增放置IUD 17例。结论:PAC服务对人工流产后落实高效避孕措施有良好的临床效果。Objective:To explore the influence of post-abortion care(PAC)services on the using and continue using of highly effective contraception role.Methods:From April 2019 to March 2020,11250 women who had been given routinely PAC services from Wanjiang General Hospital were included in observation group,and the women who had not been given routinely PAC services from Puji Branch Hospital were included in control group.The implementation and continue using of post abortion highly efficiency contraception of the women were compared between the two groups.Results:The implementation rate of the highly effective contraception after induced abortion(95.0%,1187/1250)of the women in the observation group was significantly higher than that(17.1%,214/1250)of the women in the control group(P<0.05).In the observation group,the implementation rate of highly effective contraception after induced abortion of the women with high-risk factors was 97.3%(569/585).The continua using rates of short-acting compound oral contraceptive(COC)of the women in the observation group in the 1st,3rd,and 6th months of followed up were 98.9%,69.4%,and 6.1%,respectively,and the continua using rates of short-acting COC of the women in the control group in the 1st,3rd,and 6th months of followed up were 99.2%,56.0%,and 42.0%,respectively.The continua using rate of COC of the women with high risk factors in the observation group in the 6th months after abortion was 88.2%.The implementation rate of intrauterine device(IUD)of the women in the observation group was 34.6%,which was significantly higher than that(7.5%)of the women in the control group(P<0.05).The continua IUD using rate of the women in the observation group in the 1st,3rd,and 6th month after abortion were 100%,99.1%,and 99.4%,respectively,which had no significant different from those(100%,100%,and 98%,respectively)of the women in the control group(P>0.05).There were 53 women given IUD inserted in the 6th month after abortion in the observation group,which included 39 women with high risk factors

关 键 词：流产后关爱 高效避孕措施 口服避孕药 宫内节育器 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]