1248例已生育女性重复人工流产情况及影响因素调查  

Investigation of repeated induced abortion of 1248 women who had given birth and its influencing factors analysis

作　　者：黄春萍 陈志美[1] 李富秀[1] HUANG Chunping;CHEN Zhimei;LI Fuxiu(The Second People's Hospital of Hainan,Wuzhishan,Hainan Province,572299)

机构地区：[1]海南省第二人民医院,海口572299

出　　处：《中国计划生育学杂志》2022年第7期1496-1500,共5页Chinese Journal of Family Planning

摘　　要：目的:调查五指山市已生育女性人工流产情况,并分析相关影响因素.方法:选取本院门诊接诊的行手术或药物流产的已生育女性作为调查对象,根据是否有人工流产史分组,有人工流产史者为观察组,无人工流产史者为对照组.向其发放调查问卷,收集人口学资料、避孕行为、性行为相关信息,对比两组的调查结果,分析人流影响因素.结果:妇女在户籍地、职业方面比较差异无统计学意义(P>0.05).与相比,中年龄35~39岁及≥40岁者、初中及以下文化程度者、曾生育子女数2个者、未来无生育计划者占比均更高(P<0.05).在“首次性生活是否避孕”、“首次性生活避孕方式”、“近3个月避孕方法”、“本次怀孕相关性生活是否避孕”方面比较,差异均无统计学意义(P>0.05).与相比,近3个月从不避孕者、性生活频率≥3次/周者占比明显更高(P<0.05).的人流知识评分、人流态度评分比较,差异均无统计学意义(P>0.05).Logistic回归分析显示文化程度高是已生育妇女反复人流的保护因素,曾生育子女数多、未来无生育计划、性生活频率高是危险因素.结论:重复人工流产在五指山市已生育女性中较为多见,文化程度、曾生子女数、性生活频率等是影响已生育女性人工流产的主要因素.Objective: To investigate the situation of induced abortion among women who have given birth in Wuzhishan city, and to analyze its related influencing factors. Methods: The pregnant women with given birth history who wanted abortion in the outpatient department were selected as the investigation objects, and were divided two groups(surgical abortion group or medical abortion group). Questionnaires were delivered to collect the related information of these women, such as demographic data, contraceptive behavior, and sexual behavior. The survey results of the women were compared between the two groups, and the influencing factors of abortion were analyzed. Results: There were no statistically significant difference in the domicile and occupation situations of the women between the two groups(P>0.05). The proportion of repeated abortion of the women with 35-39 years old or ≥40 years old, the women with junior middle school education or below, the women with two children, or the women without pregnancy planning in the future was significantly higher(P<0.05). The proportion of repeated abortion of the women with "whether contraception used in the first sexual life", the women with "contraceptive method in the first sexual life", the women with "contraceptive method in the last 3 months", or the women with "whether contraception used in this sex life leaded to pregnancy " had no statistically significant difference(P>0.05). The proportion of repeated abortion of the women without contraception used in the last 3 months or the women with sex life more than 3 times per week were significantly higher(P<0.05). There were no significant differences in the abortion knowledge score and the abortion attitude score between the women with or without repeated abortion(P>0.05). Logistic regression analysis showed that high education level was the protective factor of the repeated abortion of the women with given birth history, but the more children, no future birth plan, and high frequency of sexual intercourse were the risk fac

关 键 词：人工流产 育龄女性 避孕 影响因素 

分 类 号：R714.21[医药卫生—妇产科学]