人工流產(chǎn)術(shù)女性PAC后長效可逆避孕措施落實情況及影響因素分析
發(fā)布時間：2018-12-08 08:59
【摘要】：目的探討人工流產(chǎn)(簡稱人流)女性接受流產(chǎn)后關(guān)愛(PAC)后,即時落實長效可逆避孕(LARC)的情況和影響因素。方法對2016年在該院計劃生育門診實施人流的4 068例女性分別依據(jù)人口學(xué)特征和人流風(fēng)險進行分類,對比不同特征群體接受PAC后的LARC落實情況,用SAS軟件對數(shù)據(jù)的統(tǒng)計意義進行χ2檢驗。結(jié)果青少年女性LARC避孕率(7.9%)低于19~40歲(33.9%)和圍絕經(jīng)期女性(11.8%);未生育女性LARC避孕率(10.6%)低于已生育女性(33.9%);高危人流女性LARC避孕率(33.1%)高于低危人流女性(16.6%),這些數(shù)據(jù)分析均有統(tǒng)計學(xué)意義(P0.05)。高危人流中年齡小于或等于20歲女性、哺乳期、順產(chǎn)3個月內(nèi)、剖宮產(chǎn)半年內(nèi)和人流大于或等于3次LARC避孕率低(50.0%);而瘢痕妊娠和剖宮產(chǎn)大于或等于2次避孕率高(80.0%)。結(jié)論應(yīng)將青少年、未生育女性和高危人流中產(chǎn)后女性列為PAC咨詢的重點人群。
[Abstract]:Objective to investigate the status and influencing factors of long-term reversible contraception (LARC) in women with induced abortion (abortion) after receiving care for (PAC) after abortion. Methods A total of 4 068 women who performed abortion in the family planning clinic in 2016 were classified according to demographic characteristics and risk of abortion, and the implementation of LARC in different characteristic groups after PAC was compared. The statistical significance of the data was tested by 蠂 2 test with SAS software. Results the contraceptive rate of LARC in adolescent women (7.9%) was lower than that in women aged 19 years (33.9%) and in menopausal women (11.8%), and the rate of LARC contraception in non-fertile women (10.6%) was lower than that in women who had already given birth (33.9%). The contraceptive rate of high risk abortion women (33. 1%) was higher than that of low risk women (16. 6%). These data were statistically significant (P0.05). In the high risk abortion, the rate of contraception was lower (50.0%) in the female aged less than 20 years, during lactation, within 3 months of spontaneous delivery, within half a year of cesarean section and 3 times or more than or equal to 3 times of abortion (50.0%). The pregnancy rate of scar pregnancy and cesarean section were higher than or equal to two times (80.0%). Conclusion adolescents, infertile women and postpartum women should be considered as the key groups of PAC counseling.
【作者單位】： 第三軍醫(yī)大學(xué)西南醫(yī)院婦產(chǎn)科;
【分類號】：R169.4
，
本文編號：2368077
[Abstract]:Objective to investigate the status and influencing factors of long-term reversible contraception (LARC) in women with induced abortion (abortion) after receiving care for (PAC) after abortion. Methods A total of 4 068 women who performed abortion in the family planning clinic in 2016 were classified according to demographic characteristics and risk of abortion, and the implementation of LARC in different characteristic groups after PAC was compared. The statistical significance of the data was tested by 蠂 2 test with SAS software. Results the contraceptive rate of LARC in adolescent women (7.9%) was lower than that in women aged 19 years (33.9%) and in menopausal women (11.8%), and the rate of LARC contraception in non-fertile women (10.6%) was lower than that in women who had already given birth (33.9%). The contraceptive rate of high risk abortion women (33. 1%) was higher than that of low risk women (16. 6%). These data were statistically significant (P0.05). In the high risk abortion, the rate of contraception was lower (50.0%) in the female aged less than 20 years, during lactation, within 3 months of spontaneous delivery, within half a year of cesarean section and 3 times or more than or equal to 3 times of abortion (50.0%). The pregnancy rate of scar pregnancy and cesarean section were higher than or equal to two times (80.0%). Conclusion adolescents, infertile women and postpartum women should be considered as the key groups of PAC counseling.
【作者單位】： 第三軍醫(yī)大學(xué)西南醫(yī)院婦產(chǎn)科;
【分類號】：R169.4
，
本文編號：2368077
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