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女性生殖健康是人类发展的核心,关系到种族的延续,个人、家庭的稳定幸福。我国目前人工流产率逐年升高,未婚、未孕女性流产率,重复流产率明显高于其他国家。人工流产的并发症造成月经紊乱、胎盘异常、继发不孕等等。我国计划生育协会开展的流产后关爱(post-abortion care,PAC)项目,目的在于减少人流患者重复流产率,已经取得很好效果。长期追访发现仍存在一些客观问题。全科医生以预防为导向,面向个人、家庭与社区,提供以整体健康的维护与促进为方向的综合性、连续性、协调性的负责式照顾。全科医生掌握了相关生殖健康知识,可以继续完成妇产科医生之后的PAC,更重要的是,他们还可以避免第一次的非意愿妊娠的发生,避免人工流产。
Female reproductive health is the core of human development, relates to the continuation of race, the stability and happiness of individuals and families. At present, the rate of induced abortion in our country increases year by year. The rate of abortions and repeated abortion in unmarried and nonpregnant women is significantly higher than that in other countries. Abortion complications caused by menstrual disorders, abnormal placenta, secondary infertility and so on. The post-abortion care (PAC) project carried out by the Family Planning Association of China aims at reducing the repeated abortion rate in abortion patients and has achieved good results. Long-term follow-up found that there are still some objective problems. GPs are prevention-oriented and provide individuals, families and communities with comprehensive, consistent and coordinated responsible care in the direction of overall health maintenance and promotion. GPs have mastered relevant reproductive health knowledge and can continue with PACs after obstetrics and gynecologists. More importantly, they also avoid the first unwanted pregnancies and avoid induced abortion.