目的了解绝经前期妇女避孕情况,寻找适用的避孕方式。方法收集早孕要求人工流产(人流)或药物流产且年龄超过40岁的妇女298例,采取面对面问卷调查。结果 40岁以上要求人流妇女占同期人流总数的8.4%。未采取避孕措施和避孕失败是主要原因,其中无避孕措施的109例,占36.6%;避孕失败181例占60.7%。结论医务人员应指导绝经前期妇女知情选择适合的避孕措施,减少意外妊娠。 Objective To understand the situation of pre-menopausal women’s contraception and to find out the suitable contraceptive methods. Methods A total of 298 women aged 48 and over who requested abortion (abortion) or medical abortion in their first trimester were recruited. Face-to-face questionnaires were taken. As a result, women over the age of 40 were required to make up 8.4% of the total number of women in the same period. No contraception and contraceptive failure were the main reasons, of which 109 cases did not have contraception, accounting for 36.6%; 181 cases contraceptive failure accounted for 60.7%. Conclusion Medical staff should guide pre-menopausal women informed choice of appropriate contraception, reduce unwanted pregnancies.