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[目的]研究重复人工流产跟意外妊娠之间的关系,为流产后服务模式的建立提供相关建议。[方法]采用横断面研究方法,以2008年1月~2010年12月在本院接受人工流产的女性为调查对象,用现场询问的方式收集基本情况、既往人工流产次数等资料。对重复人工流产对象作进一步访谈,填写一份结构式调查问卷。[结果]837名人工流产女性中重复人工流产的比例为55.20%,年龄≥30岁。调查对象希望得到流产后服务的比例为88.1%,而在医疗机构接受到避孕服务的比例为39.9%。[结论]意外妊娠与没有周全的避孕计划、流产后不能持续正确的避孕及对人工流产的危害性认识不足有关。流产后服务未能满足服务对象的需求,应当拓宽流产后服务的覆盖面,丰富服务内容,提供个体化的流产后服务。
[Objective] To study the relationship between repeated induced abortion and unplanned pregnancy, and provide suggestions for the establishment of post-abortion service model. [Methods] The cross-sectional study was conducted to investigate the incidence of induced abortion in our hospital from January 2008 to December 2010 and to collect the basic information and the number of abortions. Make further interviews with repeated abortion targets and fill in a structured questionnaire. [Results] The proportion of repeated abortion in 837 women who induced abortion was 55.20% and the age was over 30 years old. The percentage of respondents wishing to receive post-abortion services was 88.1%, compared with 39.9% for those receiving contraceptive services at medical institutions. [Conclusion] Unexpected pregnancy is related to the lack of comprehensive contraceptive plan, the failure to continue the correct contraception after abortion and the lack of understanding of the dangers of induced abortion. After abortion service fails to meet the needs of clients, it is necessary to broaden the coverage of abortion services, enrich the service content and provide personalized post-abortion services.