王亚妹, 诸红. 2011—2018年上海市某妇幼保健院早孕者人工流产状况分析[J]. 上海预防医学, 2020, 32(4): 334-339. DOI: 10.19428/j.cnki.sjpm.2020.19743
引用本文: 王亚妹, 诸红. 2011—2018年上海市某妇幼保健院早孕者人工流产状况分析[J]. 上海预防医学, 2020, 32(4): 334-339. DOI: 10.19428/j.cnki.sjpm.2020.19743
WANG Ya-mei, ZHU Hong. Induced abortion status of pregnant women in a maternity and child care hospital in Shanghai during 2011-2018[J]. Shanghai Journal of Preventive Medicine, 2020, 32(4): 334-339. DOI: 10.19428/j.cnki.sjpm.2020.19743
Citation: WANG Ya-mei, ZHU Hong. Induced abortion status of pregnant women in a maternity and child care hospital in Shanghai during 2011-2018[J]. Shanghai Journal of Preventive Medicine, 2020, 32(4): 334-339. DOI: 10.19428/j.cnki.sjpm.2020.19743

2011—2018年上海市某妇幼保健院早孕者人工流产状况分析

Induced abortion status of pregnant women in a maternity and child care hospital in Shanghai during 2011-2018

  • 摘要:
    目的分析上海市松江区妇幼保健院2011—2018年早孕妇女人工流产情况,为减少本地区非意愿妊娠和人工流产提供依据。
    方法收集松江区妇幼保健院2011—2018年负压吸宫术登记记录,分析手术对象的年龄、户籍及婚姻状态、人工流产原因、高危因素及人流次数等。
    结果在56 263例负压吸引术对象中,年龄在20~29岁占56.98%,而≥40岁组占比逐年上升;无论已婚还是未婚,外地户籍对象占比都远远大于本地对象。在受孕周期避孕措施使用方面,2014年底前以未避孕为主,而2015年开始以使用避孕套避孕失败为主。既往流产次数大于3次者占40.89%,有逐年升高趋势;3个月内有过2次人工流产者占9.89%。从2014年开始3个月内2次人流者明显下降。进一步分析发现既往流产史与人工流产对象的年龄、户籍、婚姻状况及受孕周期避孕措施的使用状况存在一定的相关性。
    结论针对该院人工流产对象逐年变化情况,重点关注和强化外来育龄妇女、人工流产后对象、更年期人群的避孕宣传指导和措施落实情况,可以在一定程度上降低本区域内人工流产率,特别是降低重复人工流产率。

     

    Abstract:
    ObjectiveThrough the analysis of the characteristics of women who accepted induced abortion in our center in recent 8 years, to provide helpful information and evidence for reducing unwanted pregnancy and induced abortion, especially repeated abortion in the area.
    MethodsBy reviewing the record books of uterine aspiration during 2011-2018 in our centre, analysis was done on subjects in relation to their age, household registration, marital status, cause of induced abortion, high risk factors, abortion times and others.
    ResultsAmong the 56 263 subjects who accepted uterine aspiration, more than half of them whose ages ranged from 20 to 29 (accounted for 56.98%), while the proportion of the subjects aged 40 and above increased year by year; whether married or unmarried, the proportion of migrant subjects was by far larger than that of local subjects.As for contraception during the conception cycles, the majority of the subjects did not take measures before 2014, while since 2015, the majority of the subjects had failed to use condom.As for high risk factors, the proportion of those with more than 3 abortions was 40.89%, which increased year by year.The proportion of those who had 2 abortions within 3 months was 9.89%, and this proportion obviously dropped.It was found that the history of abortion was associated with the age, household registeration, marital status and contraception measures of the subjects.
    ConclusionAccording to the year-by-year change in abortion subjects, concern should be focused on migrant women of childbearing age, subjects after abortion, and climacteric group with regards to contraceptive guidance and practice so as to reduce the induced abortion rate to certain extent, especially to reduce the rate of repeated abortions.

     

/

返回文章
返回