论文部分内容阅读
目的:了解成都市未婚女性重复人工流产情况及影响因素,探讨降低未婚人工流产率的措施。方法:在成都市3类不同等级医院选择人工流产的18～24岁未婚女性进行匿名问卷调查。结果:调查合格对象416人,其中有重复人工流产史者158人,占38.00%;重复人工流产对象中,有3次及以上者高达37.40%。38.00%的对象在20岁前做了首次人工流产;调查对象的妊娠与避孕知识得分低(55.77分);重复人工流产组与非重复人工流产组比较有较高比例的多性伴(57.00%,30.20%,P<0.001)和与异性同居(60.80%,48.10%,P<0.05)。最近半年及本次妊娠前调查对象使用避孕措施情况差,且较多使用低效避孕措施。结论:多性伴、与异性同居、不使用或不当使用避孕措施是发生重复人工流产的危险因素。加强对未婚青年的教育,提高安全性行为意识,正确和坚持使用避孕措施,对于降低未婚人工流产率十分重要。
Objective: To understand the situation and influencing factors of recurrent abortion in unmarried women in Chengdu, and discuss the measures to reduce the rate of unmarried induced abortion. Methods: An unidentified questionnaire was conducted among unmarried women aged 18 ~ 24 who choose induced abortion in 3 different levels of hospitals in Chengdu. Results: There were 416 qualified subjects, of whom 158 were repeat abortion history, accounting for 38.00%; those who had repeated abortion three times or more were 37.40%. 38.00% of the subjects made the first abortion before the age of 20; the pregnancy and contraception knowledge of the respondents scored low (55.77 points); the proportion of repeat sexual abortion group was significantly higher than that of the non-recurrent induced abortion group (57.00% , 30.20%, P <0.001) and cohabitation with heterosexuality (60.80%, 48.10%, P <0.05). In the recent six months and before this pregnancy, the contraceptive measures used by the respondents were in poor condition, and more contraceptives were used inefficiently. CONCLUSIONS: Multiple sexual partners, cohabitation with heterosexuals, non-use or inappropriate use of contraception are risk factors for repeated abortion. Strengthening the education of unmarried young people and raising their awareness of safe sex behavior. Proper and consistent use of contraception is of great importance in reducing the rate of unmarried induced abortion.