论文部分内容阅读
目的:了解海淀区妇幼保健院2004年7月～2008年12月剖宫产术后宫内早期妊娠的人工流产现状,为剖宫产术后再次妊娠的高危管理提供依据。方法:对7 355例剖宫产术后再次宫内早期妊娠行人工流产患者的年龄、职业、户籍、文化程度、避孕措施、人流距剖宫产时间等临床资料进行回顾性分析。结果:①剖宫产后各年龄段患者人工流产率(已婚患者为基数)不同,≤25岁及41≥岁组较低,分别为10.15%及11.98%;26～30岁、31～35岁及36～40岁组较高,分别为20.96%、22.52%及22.02%,≤25岁及41≥岁两组与26～30岁、31～35岁及36～40岁三组间比较差异有统计学意义(P<0.000 1);②本地户籍及有固定职业的剖宫产术后患者人工流产率较低,分别为8.79%及9.83%,非本地户籍及无固定职业的剖宫产术后患者人工流产率较高,分别为23.36%及16.84%,经比较差异有统计学意义(P<0.000 1);③小学及以下文化程度者人工流产率低(10.15%),初中及以上各文化程度患者人工流产率较高,分别为20.96%、22.52%及22.02%,小学及以下文化程度与初中及以上各段文化程度比较差异有统计学意义(P<0.000 1);④避孕失败者1 312例,人工流产率5.65%;未避孕者6 043例,人工流产率14.61%,两者间比较差异有统计学意义(P<0.000 1);⑤此次人流距剖宫产时间间隔≤6个月、6+～12个月、12+～24个月及≥24个月的人工流产率分别占总百分比的5.96%、16.07%、42.26%及34.94%。结论:加强对剖宫产术后高危流动人口、高危年龄段患者的管理,大力宣传剖宫产后的避孕知识及非意愿妊娠的危害,剖宫产后半年及时落实安全有效的避孕措施,对降低剖宫产后人工流产率意义重大,从而保障妇女生殖健康。
Objective: To understand the situation of induced abortion in early stage of intrauterine pregnancy after cesarean section from July 2004 to December 2008 in Maternal and Child Health Hospital of Haidian District, to provide basis for high risk management of second pregnancy after cesarean section. Methods: A retrospective analysis was performed on the clinical data of 7 355 cases of recurrent miscarriage after cesarean section, including age, occupation, residence, educational level, contraceptive measures and cesarean section. Results: ①The abortion rate of all age groups after cesarean section (married patients as the base) was different, which was lower than 25 years old and 41 years old group, which were 10.15% and 11.98% respectively; 26-30 years old and 31-35 years old Year old and 36 to 40 years old group were higher, respectively 20.96%, 22.52% and 22.02%, ≤25 years old and 41≥ years old two groups and 26 to 30 years old, 31 to 35 years old and 36 to 40 years old three groups difference (P <0.0001); ②The rates of induced abortion in local permanent residents and those with fixed occupations were lower at 8.79% and 9.83%, respectively. Non-local census and non-occupational caesarean section The postoperative patients had higher rates of induced abortion (23.36% vs 16.84%, respectively) (P <0.0001). ③The rate of abortion in primary and lower education was lower (10.15%), junior high school and above The abortion rate was higher in all education levels (20.96%, 22.52% and 22.02%, respectively). There was significant difference between the education level of primary school and below and that of junior high school and above (P <0.0001) 1 312 cases, abortion rate 5.65%; 6 043 cases of non-contraception, abortion rate was 14.61%, the difference was statistically significant (P <0.000 1); ⑤ The current Cesarean intervals ≤6 months, 6 months + 12 ~ + ~ 24 months and abortion rates were ≥24 months 12% of the total percentage of 5.96, 16.07%, 42.26% and 34.94%. Conclusion: To strengthen the management of high-risk floating population and high-risk age group after cesarean section, to disseminate the knowledge of contraceptive and unwanted pregnancy after cesarean section, to implement the safe and effective contraceptive measures in half a year after cesarean section, Reduce the rate of induced abortion after cesarean section is of great significance in order to protect women’s reproductive health.