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目的:观察开展流产后计划生育服务(Post Abortion Family Planning Service,PAFPS)的临床效果,提高可靠避孕措施的使用比例和生殖健康水平。方法:对2011年11月至2012年11月行人工流产术的820例患者行流产后服务,并且进行术前术后问卷调查及术后3个月随访,重点调查避孕措施实施、术后并发症及重复流产情况。结果:服务后患者采取主动避孕措施的比例(95.0%)高于服务前(59.4%),两者比较,差异有统计学意义(χ2=23.8,P<0.05)。服务后被动避孕比例(4.0%)低于服务前(31.4%),两者比较,差异有统计学意义(χ2=86.7,P<0.05)。术后月经紊乱及重复流产率较以往明显减少(P<0.05)。结论:开展PAFPS可以使人工流产术后女性采取科学有效的避孕措施,减少重复流产,减少流产后并发症,保护女性生殖健康。
Objective: To observe the clinical effect of post-abortion family planning service (PAFPS) and to improve the proportion of reliable contraceptive use and reproductive health. Methods: From November 2011 to November 2012, 820 patients underwent induced abortion were treated with post-abortion. Postoperative and postoperative questionnaires and 3-month follow-up were conducted. The contraceptive measures and contraception were investigated. Symptoms and repeat abortion. Results: The proportion of patients taking active contraception after service was 95.0% higher than that before service (59.4%). The difference was statistically significant (χ2 = 23.8, P <0.05). After service, the proportion of passive contraception (4.0%) was lower than that before service (31.4%). There was a significant difference between the two (χ2 = 86.7, P <0.05). Postoperative menstrual disorders and repeated abortion rate was significantly reduced (P <0.05). Conclusion: To carry out PAFPS can make women take effective and scientific contraception after abortion, reduce repeated abortion, reduce post-abortion complications and protect female reproductive health.