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目的:探索在基层医院开展规范化流产后服务模式的新方法、新举措,以便开展优质的流产后服务工作,促进广大妇女的生殖健康。方法:选取2012年1月~2012年12月自愿来医院要求行人工流产的315例妇女作为研究对象,按照手术编码单双数的原则,单数为对照组(158例),双数为观察组(157例)。对照组实施常规流产服务模式,观察组在以往常规服务模式的基础上增加了术前对流产妇女及其伴侣的咨询服务,术时即刻落实避孕措施及提供个性化避孕方法的宣教指导,术后加强对避孕措施的有效落实及随访追踪。结果:观察组与对照组术后随访率、术后避孕措施的立即落实率、术后1年有效避孕方法的使用率及降低重复流产率方面比较,差异均有统计学意义(P<0.05)。结论:基层社区医院开展规范化流产后服务模式可以减少非意愿妊娠的发生,降低重复流产率,适合在基层社区机构推广使用。
OBJECTIVE: To explore new methods and new measures for standardizing abortion service mode in grass-roots hospitals in order to carry out quality post-abortion services and promote women’s reproductive health. Methods: A total of 315 women who voluntarily came to abortion at hospital from January 2012 to December 2012 were chosen as the study subjects. According to the principle of single and double number of surgical coding, the single number was control group (158 cases) and the double number was observation group (157 cases). In the control group, the routine abortion service mode was implemented. Based on the conventional service mode, the observation team increased the consultation service on prenatal abortion women and their partners, implemented contraceptive measures and provided mission guidance for personalized contraception immediately after surgery To strengthen the effective implementation of contraceptive measures and follow-up tracking. Results: The follow-up rate, the immediate implementation rate of postoperative contraception, the effective rate of effective contraception after 1 year and the rate of repeated abortion were lower in observation group and control group (P <0.05) . Conclusion: The standardized service mode of abortion can reduce the incidence of unwanted pregnancies, reduce the rate of repeat abortion and be suitable for promotion and use in community-based community organizations.