目的 调查人工流产现状和流产后关爱(post abortion care,PAC)服务对避孕措施选择的影响,为进一步优化 PAC服务的延伸拓展方向提供参考依据.方法 对 2019 年 8 月至 2020 年 12 月笔者医院妇科门诊人工流产的女性实施术前问卷调查和建立标准化PAC服务模式,统计分析其对避孕方式的选择.结果 共 3000 例人工流产患者纳入此研究,问卷调查结果显示人群对避孕知识掌握以及有效避孕措施落实差.实施PAC后避孕措施立即落实率为 100%,主要采用的避孕方式为复方口服避孕药(combined oral contraceptive,COC)2295 例(76.5%),宫内节育器(intra-uterine device,IUD)577 例(19.2%)及避孕套 124 例(4.1%).术后 1、3、6 个月随访中发现宫内节育器放置率逐渐上升,口服避孕药续用率逐渐下降.结论 科学系统的优质PAC服务能有效促使高效避孕方法的落实,以减少重复人工流产的发生,保护女性生育健康和提升女性的生活质量.
Objective To investigate the status quo of induced abortion and the influence of post abortion care(PAC)service on the choice of contraceptive measures,and to provide reference for further optimizing the extension and expansion of PAC service.Methods From August 2019 to December 2020,the women who had induced abortion in the department of gynecology of our hospital were surveyed by preoperative questionnaire and standardized PAC service model,and their choice of contraceptive method was statistically analyzed.Results A total of 3000 patients with induced abortion were included in this study,and the results of the questionnaire survey showed that the population had a poor grasp of contraceptive knowledge and effective contraceptive measures.After the implementation of PAC,the immediate contraceptive rate was 100%,and the main contraceptive methods were combined oral contraceptive(COC)(76.5%),intra-uterine device(IUD)(19.2%)and condom(4.1%).After 1,3,6 months of follow-up,it was found that the placement rate of IUD gradually increased,and the continuation rate of COC gradually decreased.Conclusion Scientific and systematic high-quality PAC services can effectively promote the implementation of highly effective contraceptive methods,so as to reduce the occurrence of repeated abortion,protect and improve women's reproductive health and the quality of life.
张小围;杨悦
民航总医院妇产科,北京 100123
临床医学
流产后关爱;人工流产;避孕措施
Post-abortion care;Induced abortion;Contraceptive measures
《中国现代医生》 2024 (014)
69-73 / 5
民航总医院医学科学研究基金项目(201943)
10.3969/j.issn.1673-9701.2024.14.016
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