摘要
目的探讨未婚青年女性流产后关爱(PAC)服务开展情况,以了解未婚青年女性PAC服务开展过程中存在的问题,探寻解决措施。方法回顾性分析2020年1月至2022年12月在益阳市妇幼保健院计划生育门诊行人工流产的476例未婚青年女性PAC服务登记资料,研究PAC服务落实情况及其存在的问题。结果人工流产前352例(73.95%)未采取避孕措施;人工流产后1、3、6、12个月PAC服务失访例数分别为149、177、169、134例;人工流产后12个月无避孕措施123例(35.04%);PAC服务后无避孕措施、非高效避孕措施占比及非意愿妊娠发生率均低于PAC服务前(P<0.05)。结论PAC服务后的未婚青年女性中仍存在失访率较高、避孕措施落实不够理想等现象,但有效降低了非意愿妊娠发生率。
Objective To explore the current status of post-abortion care(PAC)service for unmarried young women,in order to understand the problems existing in the process of PAC service for unmarried young women,and to explore solutions.Methods The registration data of PAC service of 476 unmarried young women who underwent induced abortion in the Family Planning Clinic of Yiyang Maternal and Child Health Hospital from January 2020 to December 2022 were retrospectively analyzed,and the implementation status and existing problems of PAC service were studied.Results Before induced abortion,352 cases(73.95%)did not take contraceptive measures.There were 149,177,169 and 134 cases of PAC service missing follow-up at 1,3,6 and 12 months after induced abortion,respectively.There were 123 cases(35.04%)of no contraception in 12 months after induced abortion.After PAC service,the proportions of no contraceptive measure,non-efficient contraceptive measures,and the incidence of unwanted pregnancy were lower than those before PAC service(P<0.05).Conclusion Among unmarried young women after PAC service,there are still high loss of follow-up rate and unsatisfactory implementation of contraceptive measures,but it effectively reduces the incidence of unwanted pregnancy.
作者
文金莲
罗香莲
刘毅
WEN Jinlian;LUO Xianglian;LIU Yi(School of Nursing,Yiyang Medical College,Hunan Province,Yiyang 413000,China;Reproductive Clinic,Yiyang Maternal and Child Health Hospital,Hunan Province,Yiyang 413000,China)
出处
《妇儿健康导刊》
2024年第16期79-82,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
基金
湖南省益阳市社科课题(2022YS255)。
关键词
未婚青年女性
人工流产
流产后关爱服务
避孕措施
非意愿妊娠
Unmarried young women
Induced abortion
Post-abortion care service
Contraceptive measure
Unwanted pregnancy
作者简介
文金莲(1977-),女,湖南益阳人,硕士,副主任医师,主要从事妇产科教学与临床研究工作。;通讯作者:刘毅(1976-),女,湖南益阳人,副主任医师,生殖中心主任,主要从事妇产科临床与研究工作。
