摘要
目的探讨人工流产妇女的年龄、婚育状况、流产次数等特征,分析其流行病学变化趋势,为降低人工流产率提供依据。方法采取以医院为单位的描述性研究为基础,对厦门大学附属妇女儿童医院计划生育科2014年1月至2018年12月期间施行人工流产手术育龄妇女登记资料进行回顾性分析。结果共纳入28 529例患者资料。行人工流产手术患者年龄为(28.77±5.78)岁,其中25~34岁者占58.1%,已婚占67.0%,已育占62.5%,初次妊娠流产者占24.0%,流产2次者为30.3%,流产3次及以上者占21.5%(最多14次),有剖宫产史者占16.1%。2014—2018年,受术者的年龄[(28.05±5.69)岁、(28.47±5.62)岁、(28.70±5.80)岁、(29.03±5.81)岁、(29.59±5.82)岁]逐年上升(P<0.001);已婚所占比例(63.2%、66.8%、66.9%、67.2%、70.9%)、生育2孩及以上者比例(11.8%、15.4%、20.2%、25.2%、32.2%)和高龄重复流产人群比例(21.7%、22.1%、23.4%、26.7%、29.9%)均逐年上升(P均<0.001);人工流产手术者中未婚所占比(36.8%、33.2%、33.1%、32.8%、29.1%)、未育所占比(42.9%、38.4%、37.8%、36.3%、32.4%)和24岁及以下所占比(29.3%、25.3%、24.7%、24.1%、21.5%)均逐年下降(P均<0.001),首次妊娠流产比例(26.2%、23.8%、24.7%、23.4%、21.8%)呈下降趋势(P<0.001);有剖宫产史人工流产的妇女近5年所占比例(16.2%、15.0%、15.9%、16.6%、16.9%)呈上升趋势,但差异无统计学意义(P=0.054)。结论已婚已育人工流产妇女在此调查中所占比例最大,产后妇女是计划生育服务的重点人群,开展产后避孕服务及推广长效可逆避孕措施刻不容缓。
Objective To investigate the characteristics and trends of women who underwent induced abortion in recent years,and to provide more evidences to decrease induced abortion rate.Methods A retrospective study was conducted on women who underwent induced abortions in the Family Planning Department of Women and Children’s Hospital of Xiamen University from January 2014 to December 2018.Results Of the 28529 women with induced abortion,the age was(28.77±5.78)years old.Women aged 25-34 years accounted for 58.1%,67.0%of women were married,62.5%had a history of delivery,24.0%were in their first pregnancies,30.3%had induced abortion for twice,21.5%were for three times and more(the maximum frequency of induced abortion was 14).About 16.1%induced abortion women had a history of cesarean section,and rate showed an increasing trend in the five years(16.2%,15.0%,15.9%,16.6%,16.9%),but the difference was not statistically significant(P=0.054).From 2014 to 2018,the age of induced abortion women[(28.05±5.69)years,(28.47±5.62)years,(28.70±5.80)years,(29.03±5.81)years,(29.59±5.82)years,P<0.001]and the percentages of married women(63.2%,66.8%,66.9%,67.2%,70.9%),women with two or more children(11.8%,15.4%,20.2%,25.2%,32.2%)and women undergoing at least a second abortion over 35 years old(21.7%,22.1%,23.4%,26.7%,29.9%)increased every year(all P<0.001).However,among the induced abortion women,the percentages of unmarried women(36.8%,33.2%,33.1%,32.8%,29.1%),women who haven’t bear children(42.9%,38.4%,37.8%,36.3%,32.4%),women with the first pregnancy(26.2%,23.8%,24.7%,23.4%,21.8%)and women under 24 years old(29.3%,25.3%,24.7%,24.1%,21.5%)decreased during the five years period(all P<0.001).Conclusion The incidence rate of induced abortion among married women with children is the highest,so special attention should be paid to postpartum women in family planning services,and it is urgent to launch postpartum contraceptive services and promote long-term reversible contraceptive measures.
作者
罗振宇
汪文荣
柴冬宁
苏瑞德
庄玲玲
沈玉萍
胡美英
沈海岚
蔡迎迎
Luo Zhenyu;Wang Wenrong;Chai Dongning;Su Ruide;Zhuang Lingling;Shen Yupin;Hu Meiying;Shen Hailan;Cai Yingyin(Family Planning Clinic,Women and Children's Hospital Affiliated Xiamen University,Xiamen Maternal and Child Health Care Hospital,Xiamen 361001,China)
出处
《中华生殖与避孕杂志》
CAS
CSCD
北大核心
2020年第6期490-495,共6页
Chinese Journal of Reproduction and Contraception
关键词
流产
人工
回顾性研究
产后避孕
长效可逆避孕措施
Abortion,induced
Retrospective study
Postpartum contraception
Long-acting reversible contraception
