摘要
目的探讨人工流产后关爱服务对剖宫产术后意外妊娠女性心理健康及避孕行为的影响。方法选取2012年1月至2013年6月因剖宫产术后2年内意外妊娠在佛山市妇幼保健院妇科自愿行人工流产手术的健康妇女作为对照组,选取2014年1月至2015年6月因剖宫产术后2年内意外妊娠的健康妇女作为实验组。对照组接受常规服务,实验组接受流产的关爱服务(post-abortion care,PAC)服务,用Zung s焦虑自评量表(self-rating anxiety scale,SAS)评估两组患者人流前后的焦虑程度,并分析两组患者术前意外妊娠原因及采取的避孕措施,对比接受治疗后两组患者选择避孕措施的情况及术后再次妊娠的情况。结果两组患者本次意外妊娠前避孕方法基本类似,均以避孕失败为主。而接受PAC服务后,两组患者不采用避孕措施和采用不安全避孕的人数均减少,治疗后实验组采用高效避孕的人数明显多于对照组,焦虑人数明显少于对照组,1年内实验组再次妊娠人数明显少于对照组, P 值均<0.05,差异有统计学意义。结论 PAC能够缓解剖宫产术后意外妊娠女性的焦虑情绪,有效提高其采用高效避孕措施的概率,降低重复人工流产率,做好生育间隔,保护女性身心健康。
Objective To explore the effect of post-abortion care(PAC)services on mental health and contraception method use for repregnant women with cesarean section history. Methods Healthy women who had an unplanned pregnancy and willing to accept abortion in our hospital within 2 years after cesarean section from January 2012 to June 2013 were selected as the control group,and healthy women who had an unplanned pregnancy in our hospital within 2 years after cesarean section from January 2014 to June 2015 were selected as the experimental group.The control group received routine services,and the experimental group received PAC services.The anxiety level of the two groups before and after abortion was assessed by Zung s self-rating Anxiety Scale (SAS).The causes of unintended pregnancy and contraceptive measures in two groups were analyzed,and the choice of contraceptive measures and postoperative pregnancy after treatment in two groups were compared. Results The causes of the unintended pregnancy in two groups were basically similar,and the contraceptive failure was the main reason.After PAC service,the number of non-contraception and unsafe contraception in both groups was significantly reduced.Compared to the control group,there were more people in the experimental group who used effective contraception;Anxiety score of the experimental group was lower than that of the control group,and the number of people in the experimental group who were pregnant again within 1 years was less than that in the control group,These differences were statistically significant(all P <0.05). Conclusions The post-abortion care service can effectively relieve repregnant women s anxiety after cesarean section,improve the probability of using effective contraceptive measures,effectively reduce the repeated induced abortion,and do well in the birth interval,and protect women s physical and mental health.
作者
周聪
郑玉华
刘爽
强荣
刘睿
孙慧娟
ZHOU Cong;ZHENG Yu-hua;LIU Shuang;QIANG Rong;LIU Rui;SUN Hui-juan(Foshan Women and Children Hospital,Foshan 528000,China)
出处
《妇产与遗传（电子版）》
2019年第1期15-19,共5页
Obstetrics-Gynecology and Genetics (Electronic Edition)
关键词
流产
人工
流产后关爱
剖宫产术
妊娠
意外
心理健康
避孕
Abortion,induced
Post-abortion care
Cesarean section
Pregnancy,unplanned
Mental health
Contraception
