未生育女性重复人工流产及避孕情况分析  

Analysis of the current situation of repeated induced abortion and contraception of childless women

作　　者：钱金凤[1] 张晓群 姚晓英[1] 王彩燕[1] QIAN Jinfeng;ZHANG Xiaoqun;YAO Xiaoying;WANG Caiyan(Obstetrics and Gynecology Hospital,Fudan University,Shanghai,200011)

机构地区：[1]复旦大学附属妇产科医院,上海200011

出　　处：《中国计划生育学杂志》2023年第6期1361-1364,1369,共5页Chinese Journal of Family Planning

摘　　要：目的:探索未生育女性重复流产现状及避孕情况等,为临床针对性的避孕咨询和指导提供依据。方法:纳入自愿要求终止妊娠的未生育早孕期女性,记录其年龄、婚姻状况、户籍地、文化程度及避孕方法使用情况等,采用logistic回归分析重复流产的相关影响因素。结果:未生育早期人工流产女性共3965例,其中重复流产1454例(36.7%),年龄≤24岁占重复流产的34.3%,年龄>24岁、已婚、文化程度较低的女性复发性流产风险增高(OR=2.29,95%CI 1.98~2.65;OR=2.49,95%CI 2.124~2.921;OR=2.49,95%CI 2.124~2.921);未生育女性本次妊娠采用避孕措施的比例较低(35.4%),重复流产组采用避孕措施比例显著高于非重复流产组(40.9%比32.3%,P=0.000),两组采用的避孕措施均以低效措施为主,如避孕套、紧急避孕药及安全期避孕等。结论:已婚、文化程度较低的女性重复流产风险增高,未避孕或采用低效避孕措施可能是人工流产的主要原因,因此加强未生育女性避孕指导,尤其是高效避孕措施的宣教,对于降低未生育女性重复人工流产率,保护生殖健康有重要意义。Objective:To explore current situation of the repeated abortion and contraception of childless women,so as to provide basis for clinical contraception counseling and guidance.Methods:The childless women who volunteered to terminate their pregnancy during the first trimester of pregnancy were included in this study.The age,the marital status,the registered residence,the educational level,and the contraceptive use of these women were recorded.Logistic regression was used to analyze the related factors of the repeated abortion.Results:3965women were included and 1454(36.7%)of them had repeated abortions.The young women who were≤24years old accounted for 34.3%of repeated abortions.The women above 24years old,married,and with low education level had an increased risk of repeated induced abortion(OR=2.29,95%CI 1.98-2.65;OR=2.49,95%CI 2.124-2.921;OR=2.49,95%CI 2.124-2.921).The contraception rate(35.4%)of the included women was low.The contraception rate of the women with repeated induced abortion was significantly higher than that of the women without repeated induced abortion group(40.9%vs.32.3%,P=0.000).The contraceptive measures used of the women in the two groups were mainly inefficient methods,such as condoms,emergency contraceptives,and the rhythm method.Conclusion:The women who were married or had lower educational level have higher risk of repeated induced abortions.Failure to use contraception or use unreliable contraception may be the main causes of abortion.Strengthening contraceptive guidance for the childless women,especially the education on effective contraceptives,is of great importance to reduce the rate of repeated abortions of the women and thus protect their reproductive health.

关 键 词：未生育女性 重复人工流产 避孕 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]