摘要
目的分析产后1年内女性人工流产的现状、术后即时落实长效可逆避孕(LARC)的影响因素及效果。方法收集2020年7月至2021年6月我院门诊手术室收治的400例产后1年内实施人工流产患者的临床资料,根据人工流产术后是否即时落实LARC措施分为落实组(LARC组,n=114)和未落实组(对照组,n=286),回顾分析人工流产现状、术后即时落实LARC的影响因素、随访1年再次人工流产或LARC使用情况。结果产后1年内女性因未避孕而导致本次非意愿妊娠者占71.0%(284/400),人工流产术后即时落实LARC的女性占28.5%(114/400)。人工流产原因中“与前次分娩间隔短”而终止妊娠者占40.3%(161/400);重复人工流产的患者占48.3%(193/400)。产次、自身文化程度、既往人工流产次数、再生育意愿是产后1年内人工流产术后即时实施LARC的重要影响因素(P<0.05)。术后随访,LARC组1年内有7例取出(或脱落)宫内节育器,两组共20例再次非意愿妊娠。结论产次多、既往人工流产次数多、自身文化程度高的女性更愿意选择术后即时落实LARC,而有再生育意愿的女性则容易选择短效避孕措施;产后避孕现状不容乐观,计划生育服务工作者应加强产后避孕宣教。
Objective:To analyze the current situation of female induced abortion within 1 year after delivery,and the influencing factors and effects of immediate implementation of long-acting reversible contraception(LARC)after operation.Methods:The clinical data of 400 patients who underwent artificial abortion within one year after delivery in the outpatient operating room of our hospital from July 2020 to June 2021 were analyzed.They were divided into LARC group(n=114)and control group(n=286)according to whether LARC contraception was implemented immediately after artificial abortion.The current situation of artificial abortion,the influencing factors of immediate implementation of LARC after operation were analyzed retrospectively.The patients were followed-up for 1 year on the status of implement of artificial abortion again or the use of LARC.Results:Within one year after delivery,71.0%(284/400)of women had an unwanted pregnancy due to lack of contraception,and 28.5%(114/400)had LARC implemented immediately after artificial abortion.Among the causes of induced abortion,40.3%(161/400)terminated their pregnancy due to a short interval from the previous delivery.The patients with repeated abortion accounted for 48.3%(193/400).The parity,education level,number of previous induced abortions,and fertility intention were the important influencing factors for the immediate implementation of LARC after induced abortion within one year after delivery(P<0.05).During postoperative follow-up,7 patients removed(or expulsed)their intrauterine devices within 1 year,and 20 patients had unwanted pregnancies again.Conclusions:Women with more births,more previous induced abortions and higher education are more willing to implement LARC immediately after operation,while women who are willing to have another child are more likely to choose short-acting contraceptives.The current situation of postpartum contraception is not optimistic.Family planning service workers should strengthen the publicity and education of postpartum contraception.
作者
程莉
吕幽雁
胡兰青
CHENG Li;L You-yan;HU Lan-qing(Yongkang Maternal&Child Health Care Hospital,Yongkang 321300)
出处
《生殖医学杂志》
CAS
2023年第7期1064-1069,共6页
Journal of Reproductive Medicine
基金
金华市科学技术研究计划项目课题(2021-4-277)。
关键词
产后1年内
人工流产
长效可逆避孕措施
Postpartum 1 year
Induced abortion
Long-acting reversible contraception
