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目的通过主动、全程的避孕节育服务方式,达到充分的知情选择权,减少意外妊娠,提高避孕率、降低不良反应发生率的目的,保障人们的生殖健康水平,提高人们的幸福生活指数。方法以每对夫妇为一个家庭单位,主动、全程的避孕节育服务模式,以基层计生服务站为基础,具体服务到村、到户,以家庭为单位,指导避孕方法,对采取的避孕措施定期监测、随访,真正做到知情选择,以人为本。在2013年11月-2015年12月以广州市南沙区榄核镇为试点,对全镇3年来育龄夫妇指导、随访、健康检查。每对夫妇的避孕情况统计分析,并对相关资料录入家庭计划生育及其生殖健康促进软件系统进行整理分析。结果 3年的意外妊娠发生率分别是1.0%、0.9%、0.7%,统计学分析结果χ~2=6.388,P<0.05;3年的无避孕措施的人数逐年减少,分别是23、11、8例,统计学分析结果χ~2=7.214,P<0.05。结论降低人工流产的发生率,提高生殖健康水平,提高家庭生活的幸福指数,主动、全程的避孕节育优质服务是有明显效果的。
Objectives To achieve full reproductive health services by means of proactive contraception and birth control, to reduce the number of unintended pregnancies, to increase the rate of contraception, and to reduce the incidence of adverse reactions so as to ensure people’s reproductive health and improve their happy life index. Methods Each couple as a family unit, take the initiative, the entire contraceptive mode of service, based on primary care service stations, specific services to the village, to households, family units, to guide the contraceptive methods, contraceptive measures taken regularly Monitoring, follow-up, truly informed choice, people-oriented. From November 2013 to December 2015, piloted in Lancun Town, Nansha District, Guangzhou City, and guided, followed up and health-checked the couples of childbearing age in the town for 3 years. Contraception of each couple statistical analysis, and related data entry family planning and reproductive health promotion software system for finishing analysis. Results The incidence rates of unplanned pregnancy during 3 years were 1.0%, 0.9% and 0.7%, respectively. The statistical analysis showed that χ ~ 2 = 6.388, P <0.05; 8 cases, the statistical analysis results χ ~ 2 = 7.214, P <0.05. Conclusions Reducing the incidence of induced abortion, raising the level of reproductive health, improving the happiness index of family life, active and full contraception services have obvious effects.