摘要
目的:分析杭州地区育龄女性非意愿妊娠发生现状及流产结局情况。方法:选取杭州地区范围内医院作为项目点,2017年1月-2022年12月随机选取项目点就诊的6500名孕妇作为调查对象,问卷调查收集基本信息及相关资料并统计分析。结果:共回收有效问卷6454份,有效应答率为99.3%;其中城市3680人(57.0%),农村2774人(43.0%);非意愿妊娠854例(13.2%),其中≥25岁占73.8%,高中及以下文化程度占74.9%,已婚占70.0%;非意愿妊娠中,38.8%为避孕失败,61.2%未采取避孕措施,避孕失败的主要原因包括安全期避孕及不规范使用避孕套,未采取避孕措施的主要原因包括认为偶尔一次不会妊娠及性冲动而未采取避孕措施。城市和农村女性非意愿妊娠结局无差异(P>0.05)。结论:本次调查的非意愿妊娠主要发生在25岁以上、已婚及学历相对低下人群,加强育龄女性避孕知识宣传教育、指导正确掌握避孕方式有助于预防非意愿妊娠。
Objective:To analysis the status quo of unwanted pregnancy and the pregnancy outcomes of women of childbearing age in Hangzhou region.Methods:Hospitals in Hangzhou area were selected as the project site,and 6500 pregnant women who visited these project sites from January 2017 to December 2022 were randomly selected as the survey objects.The basic information and the related data of these pregnant women were collected by questionnaires and were statistically analyzed.Results:A total of 6454 valid questionnaires were collected,with an effective response rate of 99.3%,including 3680(57.0%)women in urban areas and 2774(43.0%)women in rural areas.854(13.2%)women had unwanted pregnancy,of which,73.8%women were≥25 years old,74.9%were education level of high school or below,and 70.0%of the women were married.Among the pregnant women with unwanted pregnancy,331(38.8%)women were caused by contraceptive failure,and 523(61.2%)women were caused by failure to take contra-ceptive measures.The main reasons for contraceptive failure included no contraception during ovulation period and non-standard use of condoms.The main reasons of failure to take contraceptive measures included believing not get preg-nant during sex without contraceptive measures once in a while.There was no significant difference in the outcomes of unwanted pregnancy between the urban women and the rural women(P>0.05).Conclusion:This survey finds that the unwanted pregnancies mainly occurred in the women over 25 years old,in the married women,in the women with rela-tively low education level.Strengthening the contraceptive knowledge publicity and education of the women of child-bearing age and guiding them to contraceptive correctly can help prevent unwanted pregnancy.
作者
赵梦梦
钱佳燕
ZHAO Mengmeng;QIAN Jiayan(Hangzhou Ninth People's Hospital,Hangzhou,Zhejiang Province,311225)
出处
《中国计划生育学杂志》
2023年第5期1023-1026,共4页
Chinese Journal of Family Planning
关键词
非意愿妊娠
育龄女性
杭州地区
原因分析
避孕措施
Unwanted pregnancy
Women of childbearing age
Hangzhou region
Reason analysis
Contraceptive measures
