论文部分内容阅读
目的通过流行病学干预随访调查,探讨昆山市人工流产妇女接受计划生育服务后再次妊娠的发生情况及再次妊娠的结局。方法在知情同意的前提下,干预医院人工流产妇女接受流产后优质计划生育服务(PAC),对照医院人工流产妇女接受常规的计划生育服务。10个月后,由经过统一培训的专业人员采用相同的方法对干预组和对照组的对象进行电话访谈,完成评估调查。结果干预医院1 116名人工流产妇女接受PAC后再次妊娠率为1.79%;对照医院1 131名人工流产妇女再次妊娠率为6.37%;差异有统计学意义(χ2=29.93,P<0.05)。扣除文化程度、月收入和婚姻状况的影响后,干预医院人工流产妇女再次妊娠发生率低于对照医院人工流产妇女(OR=0.33,95%CI:0.13~0.74)。干预医院20名再次妊娠妇女有6人再次行人工流产(30.00%),对照组医院72名人流后再次妊娠妇女的再次流产率为62.50%,两者差异有统计学意义(χ2=6.69,P<0.05)。结论通过PAC服务,人工流产妇女再次妊娠的发生率明显降低,流产后计划生育服务取得了良好的效果。建议在人工流产妇女中强化流产后优质计划生育服务。
Objective To investigate the incidence of re-pregnancy after pregnancy-induced childbirth (FP) in Kunshan and the outcome of another pregnancy through epidemiological intervention follow-up survey. Methods Under the condition of informed consent, interventional abortion women in the hospital received quality family planning service (PAC) after abortion, and women in abortion control hospitals received routine family planning services. After 10 months, the same method was used by trained professionals to conduct telephone interviews with subjects in the intervention group and the control group to complete the assessment survey. Results The inter-pregnancy rate of 1,116 induced abortion women in the intervention hospital was 1.79%. The pregnancy rate of 1,131 induced abortion women in the control hospital was 6.37%. The difference was statistically significant (χ2 = 29.93, P <0.05). Excluding the educational level, monthly income and marital status, the incidence of recurrent pregnancy in induced abortion women in hospital was lower than that of women in controlled hospitals (OR = 0.33, 95% CI: 0.13-0.74). Six of 20 pregnant women who intervened in the hospital again performed induced abortion (30.00%), while 72 pregnant women in the control group returned to pregnant women again with a rate of 62.50% (χ2 = 6.69, P <0.05). Conclusions Through the PAC service, the incidence of recurrent pregnancy after induced abortion was significantly reduced, and the family planning service after abortion achieved good results. It is proposed to strengthen quality family planning services after abortion in abortion women.