摘要
目的:探讨流产后关爱(PAC)服务的干预效果。方法:纳入611例计划行人工流产终止早孕妇女,其中304例妇女接受传统人工流产服务(对照组),307例妇女在接受人工流产服务同时接受流产后关爱服务(干预组)。术后随访半年。随访内容为2组对术后避孕方法的可接受性、续用率以及重复流产率。结果:与对照组比较,干预组接受流产后关爱服务(尤其是术前避孕咨询)后,35.50%流产女性选择术后即刻放置宫内节育器,而对照组仅有1例(0.33%)选择术后即刻放置宫内节育器,干预组对即刻宫内节育器放置的接受性大于对照组(χ2=125.695,P=0.000)。354例流产女性在术后6个月中接受了随访(干预组173例,对照组181例)。干预组与对照组术后即刻放置宫内节育器的续用率差异无统计学意义(96.00%vs.100.0%,χ2=0.000,P=1.000);干预组对短效复方口服避孕药的接受性大于对照组(19.08%vs.8.84%,χ2=6.936,P=0.008),但续用率则低于对照组(24.24%vs.87.5%,χ2=14.966,P=0.000)。对照组对避孕套的接受性高于干预组(73.48%vs.37.57%,χ2=44.828,P=0.000),但2组的避孕套续用率差异无统计学意义(χ2=0.023,P=0.881)。2组发生的重复流产均与使用避孕套相关的避孕失败有关,重复流产率差异无统计学意义(χ2=0.564,P=0.453)。干预组发生1例术后即刻放置的宫内节育器脱落。结论:人工流产术前咨询可促进妇女术后即刻放置宫内节育器。
Objective：To evaluate the effects of postabortion care （PAC） on improving contraceptive use in those postabortion women. Methods：A prospective study was designed to assess the postabortion contraceptive use in 611 women seeking abortion, including 307 women with PAC as the PAC group and 304 women with traditional abortion service as the control group. The acceptability of postabortion contraceptives , the continuation rate of contraception and the rate of repeated abortion were compared after 6 months after abortion. Results：35.50% of women in the PAC group chose IUD as the immediate contraceptives after abortion , especially those women with the preabortion contraceptive counseling, while only one （0.33%） in the control group chose （χ2=125.695,P=0.000）. 354 women received interview with consent during the 6 month follow-up period, including 173 women in the PAC group and 181 women in the control group. There was not significantly difference in those rates of continuation use of immediate IUD in two groups （96.00%vs. 100.0%, χ2=0.000,P=1.000）. The acceptability of combined oral contraceptive （COC） in the PAC group was significantly higher than that in the control group （19.08% vs. 8.84%, χ2=6.936,P=0.008）, while the continuation rate of COC in the PAC group was significantly lower than that in the control group （24.24% vs. 87.5%, χ2=14.966,P=0.000）. There was a higher acceptability of condom in the control group when compared with the PAC group （73.48%vs. 37.57%, χ2=44.828,P=0.000）, while there was not significant difference in the continuation rate of condom in two groups （χ2=0.023,P=0.881）. There was not significant difference in the rate of repeated abortion in two groups （χ2=0.564,P=0.453）, all of the repeated abortions were due to failing use of condom. There was only one case of IUD expulsion in the PAC group. Conclusions：Preabortion contraceptive counseling can significantly improve the application of immediate IUD in those postabortion women.
出处
《国际生殖健康／计划生育杂志》
CAS
2015年第1期32-37,共6页
Journal of International Reproductive Health/Family Planning
基金
上海市人口和计划生育委员会科技发展基金(2013JG11)
关键词
流产
人工
计划生育服务
避孕
宫内避孕器
咨询
Abortion,induced
Family planning services
Contraception
Intrauterine devices
Counseling
作者简介
通信作者：侯淑萍，E—mail：shhsp2013@163．com
