上海市某区产后1年内人工流产妇女意外妊娠原因调查分析  

Survey of the causes of unwanted pregnancy among women with abortion within postpartum 1 year in a district of Shanghai

作　　者：崔巍 张晓华 杨慧宾 周晓艳 张艳玲 李会云 金龙妹 CUI Wei;ZHANG Xiaohua;YANG Huibin;ZHOU Xiaoyan;ZHANG Yanling;LI Huiyun;JIN Longmei(Minhang District Maternal and Child Health Care Hospital,Shanghai,201102)

机构地区：[1]上海市闵行区妇幼保健院,201102

出　　处：《中国计划生育学杂志》2022年第3期509-513,共5页Chinese Journal of Family Planning

基　　金：复旦-闵行健康联合体合作项目(2020FM05)。

摘　　要：目的:了解产后1年内人工流产妇女避孕知识和避孕情况,探讨产后1年内意外妊娠原因及产后避孕保健服务的对策。方法:对上海市闵行区2019年7月-2020年6月产后1年内行人工流产的女性290人进行问卷调查,调查内容包括避孕知识、产后避孕措施、产后避孕知识的获取、产后1年内意外妊娠时间及原因等。结果:产后月经恢复时间、性生活恢复时间[M(P25,P75)]分别为3.0(2.0,4.0)个月、3.0(2.0,3.0)个月,产后性生活早于月经恢复占17.9%(52/290);产后1年内意外妊娠时间[M(P25,P75)]为8.0(6.0,9.5)个月,最早的1例为产后2个月。产后意外妊娠原因中未避孕占53.8%(156/290);避孕失败占46.2%,其中采用非高效避孕方法占98.5%。产后不避孕或不严格避孕者中76.1%存在避孕认知误区。不知道产后哺乳期如何选择避孕方法占11.7%,不知道哺乳闭经避孕方法占53.5%。孕产期未得到产后避孕宣教占29.0%。结论:有必要建立贯穿围产期的产后避孕保健服务,有效落实产后避孕措施,保障女性生殖健康。Objective:To understand the contraceptive knowledge and situation of women with abortion within postpartum 1 year,to explore the causes of their unwanted pregnancy within postpartum 1 year,and to study the corresponding countermeasures of their postpartum contraceptive health care services.Methods:From July 2019 to June 2020,290 women who underwent abortion because of unwanted abortion within postpartum 1 year in Minhang district of Shanghai were recruited for questionnaire survey on their contraceptive knowledge,postpartum contraceptive situation,acquisition situation of postpartum contraceptive knowledge,the time and causes of unwanted pregnancy within postpartum 1 year,etc.Results:The median time(M P25,P75)of postpartum menstrual recovery and sexual life recovery of these women were 3.0(2.0,4.0)months and 3.0(2.0,3.0)months,respectively.The time of postpartum sexual life of 17.9%(52/290)women was earlier than that of their menstrual recovery.The median time(M P25,P75)of the unwanted pregnancy within postpartum 1 year was 8.0(6.0,9.5)months,and which shortest time of one women was postpartum 2 months.The causes of postpartum unwanted pregnancy included 53.8%(156/290)women without postpartum contraception used and 46.2%(134/290)women with contraceptives failed,of which 98.5%(132/134)women with low efficient contraceptives used.76.1%(175/230)women without contraception used or without strict contraception used were caused by contraception misunderstanding.11.7%(34/290)women did not know how to choose contraception during postpartum lactation,and 53.5%(155/290)women did not know the contraception of lactation amenorrhea.29.0%(84/290)women had not received postpartum contraceptive education because of the simple form and content of postpartum contraceptive education during pregnancy and childbirth.Conclusion:It is necessary to establish the postpartum contraceptive health services during the perinatal period for the women,which can help their implement postpartum contraception effectively and can ensure their repro

关 键 词：产后1年内意外妊娠 产后避孕 避孕知识 原因 分析 

分 类 号：R714[医药卫生—妇产科学]