人工流产术后放置宫内节育器1年停用影响因素分析  

Analysis of the influencing factors of abandoning long-acting reversible contraception of women with unwanted pregnancy within one year after induced abortion

作　　者：吴秋静 张晓丽 丁枝珠 王晓艺 赵娟[4] WU Qiujing;ZHANG Xiaoli;DING Zhizhu;WANG Xiaoyi;ZHAO Juan(The Second School of Clinical Medicine School,Southern Medical University,Guangzhou,Guangdong Province,510260;Guangdong Provincial Second People's Hospital;Zhongshan Nanlang Hospital,Guangdong Province;Huadu District People's Hospital of Guangzhou)

机构地区：[1]南方医科大学第二临床医学院,广州510260 [2]广东省第二人民医院 [3]广东省中山市南朗医院 [4]广东省广州市花都区人民医院

出　　处：《中国计划生育学杂志》2024年第8期1740-1743,共4页Chinese Journal of Family Planning

基　　金：花都区基础与应用基础研究区院联合资助项目(23HDQYLH15)。

摘　　要：目的:调查非意愿妊娠人工流产者术后放置宫内节育器(IUD)停用情况及影响因素。方法:收集2022年1-12月本院收治的人工流产者1035例,均流产术后应用IUD避孕措施,随访1年,观察IUD使用情况并分为停用组(189例)、续用组(846例)。调查IUD停用原因,通过单因素分析及多因素logistic回归分析法分析人工流产者术后落实避孕措施1年内停用危险因素。结果:随访1年,人工流产术后IUD停用189例(18.4%),原因包括不良反应83例、社会心理因素100例、其他原因6例。多因素logistic分析显示,年龄低、无生育史、无重复流产、受教育程度高中及以下为人工流产者术后放置IUD停用的危险因素(OR=1.657、1.669、2.442、1.790,P<0.05)。结论:非意愿妊娠人工流产者术后放置IUD仍存在一定比例的停用情况,影响因素较多,临床需加强术前咨询、术后管理,针对性采取干预对策以提高流产后长效避孕措施的落实使用率。Objective:To investigate the situation and the influencing factors of abandoning long-acting reversible contraception(LARC)of women with unwanted pregnancy within one year after induced abortion.Methods:From January 2022 to December 2022,1035 women with induced abortion were treated with LARC and were followed up for 1 year,and the situation of the abandoning LARC of the women was observed.These women were divided in group A(189 cases with the abandonment of LARC)and group B(846 cases with LARC continuing used).The reasons of the abandoning LARC of the women after abortion were investigated.The risk factors of the abandonment of LARC of the women with abortion were analyzed by univariate analysis and multivariate logistic regression.Results:In 1 year of follow-up after induced abortion,there were 189(18.4%)women with the abandonment of LARC,and the reasons of the abandonment of LARC included the adverse reactions(83 cases),the psychosocial factors(100 cases)and other reasons(6 cases).Multivariate logistic analysis showed that the younger age,the no childbearing history,the no repeated abortion and the lower education level of high school of the women were the risk factors for their abandoning LARC(OR=1.657,1.669,2.442,1.790,P<0.05).Conclusion:The women with LARC after induced abortion because of unwanted pregnancy still have a certain percentage of abandoning LARC,and which are influenced by many factors.The pre-abortion consult and the post-abortion management for the women should be strengthen in clinic,and the targeted intervention measures should be conducted to improve the implementation rate of LARC of the women after abortion.

关 键 词：流产后避孕 宫内节育器 停用 影响因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]