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目的:了解人工流产女性的避孕状况,为进一步实施干预、提高育龄妇女生殖健康水平提供依据。方法:面对面问卷访谈,收集和了解要求人工流产女性术前避孕知识、避孕情况等信息进行分析,提出应对措施。结果:726例人工流产访谈女性多数为已婚(75.48%);一次以上的重复流产达57.99%,未婚人工流产占24.52%。未采取避孕措施(51.38%)或避孕失败(48.62%)是导致意外妊娠的主要原因。访谈对象对避孕套、口服避孕药、宫内节育器有所知晓,但对其他避孕方法知之甚少。访谈对象中知道免费提供避孕药具专门机构者仅35.54%。结论:降低重复流产和未婚人工流产是当务之急。对此,需要广泛、持久、深入开展计划生育健康教育,提高育龄人群避孕意识、避孕知识水平。同时,需要加强人工流产后生殖保健服务。
Objective: To understand the contraception status of abortion women and provide basis for further intervention and improvement of reproductive health of women of childbearing age. METHODS: Face-to-face interviews were conducted to collect and understand information on preoperative contraception, contraception and other information required for abortion women and to propose countermeasures. Results: Most of the 726 cases of induced abortion were married (75.48%). More than one repeated abortion reached 57.99% and unmarried artificial abortion accounted for 24.52%. No contraception (51.38%) or contraceptive failure (48.62%) were the major causes of unwanted pregnancies. Interviewees were aware of condoms, oral contraceptives and IUDs, but little was known about other methods of contraception. Only 35.54% of the interviewees knew that the contraceptives were provided free of charge. Conclusions: Reducing recurrent abortion and unmarried abortion are top priorities. In this regard, we need extensive, long-lasting and in-depth health education for family planning to raise the awareness of contraception among pregnant people of childbearing age and the level of contraception knowledge. At the same time, there is a need to strengthen post-abortion reproductive health services.