PAC服务对育龄女性避孕、避孕方式选择及重复流产的影响  

Influence of post abortion care service for women of childbearing age on their contraceptive status,contraceptive mode choice,and repeat abortion

作　　者：曹晓明 刘山[1] 凌平 周婷婷 CAO Xiaoming;LIU Shan;LING Ping;ZHOU Tingting(Tongling Maternal and Child Health Care Hospital,Tongling,Anhui Province,244000)

机构地区：[1]安徽省铜陵市妇幼保健院,244000

出　　处：《中国计划生育学杂志》2023年第1期218-220,共3页Chinese Journal of Family Planning

摘　　要：目的:分析流产后关爱(PAC)服务对育龄女性避孕方式选择、再次妊娠及重复流产的影响。方法:以2020年5月-2021年4月在本院因意外妊娠自愿要求终止妊娠的育龄女性120例作为研究对象,随机分组原则分为观察组及对照组各60例,观察组人工流产后采取PAC服务,对照组采取常规健康教育。比较两组流产术后避孕措施落实、术后阴道流血时间、术后及时避孕、术后6个月再次妊娠及重复流产情况。结果:两组本次意外妊娠原因无差异(P>0.05);观察组术后阴道流血时间(5.1±1.2 d)低于对照组(9.0±1.1 d),术后及时避孕率(100.0%)高于对照组(91.7%),高效避孕措施落实率(90.0%)高于对照组(75.0%),流产术后6个月内再次妊娠(3.3%)及重复流产(1.7%)比率均低于对照组(15.0%、11.7%)(均P<0.05)。结论:PAC服务可提高育龄女性流产后高效避孕方式选择、避孕措施及时落实率,对降低再次妊娠及重复流产均具有积极意义。Objective:To study the effect of post abortion care(PAC)service for women of childbearing age on their contraceptive status,contraceptive mode choice,pregnancy again,and repeat abortion.Methods:120 women of childbearing age who had unintended pregnancy and wanted to terminate their pregnancy voluntarily were selected as the research objects from May 2020 to April 2021.According to the principle of randomization,these women were randomly divided into the observation group and the control group(60 cases in each group).The women in the observation group received PAC service,and the women in the control group received routine health education.The postoperative contraceptive measures used,the postoperative vaginal bleeding time,the situation of postoperative contraception used timely,the pregnancy again and repeat abortion rate of the women were compared between the two groups.Results:There was no significant difference in the cause of this unintended pregnancy of the women between the two groups(P>0.05).The postoperative vaginal bleeding time(5.1±1.2 d)of the women in the observation group was significantly lower than that(9.0±1.1 d)of the women in the control group,the rate of postoperative contraception used timely(100.0%)of the women in the observation group was significantly higher than that(91.7%)of the women in the control group,and the effective rate of effective contraceptive measures(90.0%)of the women in the observation group was significantly higher than that(75.0%)of the women in the control group.The rates of pregnancy again(3.3%)and the repeat abortion(1.7%)of the women in the observation group within 6 months after abortion were significantly lower than those(15.0%and 11.7%)of the women in the control group(P<0.05).Conclusion:PAC service has a positive significance for the contraceptive status,contraceptive mode choice,second pregnancy and repeat abortion of unmarried women of childbearing age,and has an obvious promoting significance for improving the quality of population.

关 键 词：流产后避孕 流产后关爱 高效避孕措施 重复流产 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]