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目的:了解育龄妇女婚前、婚后对药物流产的利用情况及其并发症发生情况。方法:对北京、上海、成都3个中心因怀孕而在妇产科门诊就诊的妇女进行调查,内容包括一般人口学特征、药物流产史、药物流产相关健康结局等,共获得有1次药物流产史的妇女4931名。结果:婚前、婚后进行药物流产的对象比例分别为44.76%和55.24%,婚前药流者具有年龄较轻、文化程度偏低、选择在私人诊所进行药流的比例较高、孕周在7周以上者较多等特点。在调整了流产时的年龄、受教育程度、药流地点、流产时的孕周等因素后,婚前、婚后药物流产者流产后刮宫率、并发症发生率差异无统计学意义,OR值分别为0.94(0.81-1.08)和0.94(0.78-1.13)。结论:婚前药物流产者在年龄、药流地点、药流时孕周等方面具有一些与不良结局相关的特征,但未观察到婚姻状况与药物流产相关并发症的发生有关。
OBJECTIVE: To understand the use of medical abortion and the incidence of complications among women of childbearing age before and after marriage. Methods: A total of 3 abortion clinics in Beijing, Shanghai and Chengdu were surveyed in women in obstetrics and gynecology clinics, including general demographic characteristics, history of medical abortion and health outcomes related to medical abortion. A total of 1 medical abortion 4931 women in history. Results: Before marriage and after marriage, the proportion of medical abortion subjects were 44.76% and 55.24% respectively. Premarital drug carriers had younger age, lower educational level, higher rates of medical abortion in private clinics and more than 7 weeks gestational age More features. After adjusting the factors such as the age at abortion, educational level, medical abortion location and gestational age at abortion, the rates of curettage and complication after abortion were no significant difference, the OR values were 0.94 (0.81-1.08) and 0.94 (0.78-1.13). Conclusion: Prenuptial medical abortion has some characteristics associated with poor outcome in terms of age, site of medical abortion, gestational age of abortion, etc. However, no marital status was observed related to the occurrence of complications related to medical abortion.