人工流产后长效可逆避孕措施及时落实率及影响因素分析  

Analysis of the timely implementation rate of long-acting reversible contraception of women after induced abortion and its influencing factors

作　　者：陈继华 骆汉军 吉慧娟 CHEN Jihua;LUO Hanjun;JI Huijuan(Jiangsu Rugao Maternal and Child Health and Family Planning Service Center,Jiangsu Province,226500)

机构地区：[1]江苏省如皋市妇幼保健计划生育服务中心,226500

出　　处：《中国计划生育学杂志》2023年第9期2127-2130,共4页Chinese Journal of Family Planning

基　　金：南通市妇幼健康专科联盟科研项目(TFM202310)。

摘　　要：目的:了解人工流产后长效可逆避孕措施(LARC)落实情况并探讨其影响因素。方法:以2021年9月-2022年9月在如皋市辖区医疗机构实施人工流产的女性为调查对象,根据年龄、子女数、流产史、高危因素、是否避孕、终止妊娠方式、手术医院级别、手术医院性质进行分组,分析人工流产后LARC及时落实率的影响因素。结果:调查时段人工流产6044例,重复流产4250例(占70.3%),术后6个月内落实LARC1585例,及时落实率26.2%。logistic回归分析结果表明,年龄<30岁(OR=0.734,95%CI 0.614~0.877)、≤1个子女(OR=0.280,95%CI 0.198~0.397)、2个子女(OR=0.628,95%CI 0.444~0.888)、无流产史(OR=0.814,95%CI 0.692~0.957)、无痛手术(OR=1.760,95%CI 1.401~2.210)、药物流产(OR=0.230,95%CI 0.170~-0.312)、有流产高危因素(OR=1.425,95%CI 1.253~1.621)、一级医院(OR=2.081,95%CI 1.629~2.657)、公立医院(OR=1.377,95%CI 1.198~1.583)是人工流产后LARC及时落实率的影响因素,其中年龄<30岁,≤1个子女,2个子女,无流产史、药物流产对及时落实LARC产生消积影响。结论:如皋地区提高人工流产后LARC及时落实率仍有相当的拓展空间,建议采取针对性干预措施。Objective:To understand the current situation of the implementing long-acting reversible contraception(LARC)of women after induced abortion,and to explore the influencing factors of the implementing LARC.Methods:The women who performed induced abortion in medical institutions were investigated from September 2021to September 2022.These women were divided in different groups based on the age,the number of children,the history of abortion,the high-risk factors,the contraception used or not,the termination method of pregnancy,the level of hospital where the abortion implementation,and the nature of hospital where the abortion implementation.The factors influencing the timely implementation rate of long-term contraceptive measure of the women after induced abortion were analyzed.Results:During the survey period,there were 6044women with induced abortion and 4250(70.3%)women with repeated miscarriage.1585women had implemented LARC within 6months after abortion,with the timely implementation rate of 26.2%.The results of logistic regression analysis showed that age<30years old(OR=0.734,95%CI 0.614-0.877),≤1child(OR=0.280,95%CI 0.198-0.397),2children(OR=0.628,95%CI 0.444-0.888),no history of miscarriage(OR=0.814,95%CI 0.692-0.957),painless surgery(OR=1.760,95%CI 1.401-2.210),drug induced abortion(OR=0.230,95%CI 0.170-0.312),and high-risk factors(OR=1.425,95%CI 1.253-1.621)First level hospitals(OR=2.081,95%CI1.629-2.657)and public hospitals(OR=1.377,95%CI1.198-1.583)are the factors that affect the timely implementation rate of LARC after induced abortion.Among them,age<30years old,≤1child,2children,no history of miscarriage,and drug induced abortion have a negative impact on the timely implementation of LARC.Conclusion:There is still considerable expand space for improving the timely implementation rate of LARC of the women after induced abortion in the Rugao region,and the targeted intervention measures for these women are recommended.

关 键 词：人工流产 长效避孕 及时落实率 影响因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]