蒋美芳, 施君瑶, 蔡志红, 邬向英. 20112018年上海市浦东新区计划生育技术服务情况分析[J]. 上海预防医学, 2021, 33(11): 1059-1064. DOI: 10.19428/j.cnki.sjpm.2021.20009
引用本文: 蒋美芳, 施君瑶, 蔡志红, 邬向英. 20112018年上海市浦东新区计划生育技术服务情况分析[J]. 上海预防医学, 2021, 33(11): 1059-1064. DOI: 10.19428/j.cnki.sjpm.2021.20009
JIANG Mei-fang, SHI Jun-yao, CAI Zhi-hong, WU Xiang-ying. Technical services of family planning operations in Pudong New Area of Shanghai from 2011 through 2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(11): 1059-1064. DOI: 10.19428/j.cnki.sjpm.2021.20009
Citation: JIANG Mei-fang, SHI Jun-yao, CAI Zhi-hong, WU Xiang-ying. Technical services of family planning operations in Pudong New Area of Shanghai from 2011 through 2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(11): 1059-1064. DOI: 10.19428/j.cnki.sjpm.2021.20009

20112018年上海市浦东新区计划生育技术服务情况分析

Technical services of family planning operations in Pudong New Area of Shanghai from 2011 through 2018

  • 摘要:
    目的了解上海市浦东新区2011—2018年计划生育技术服务数量变化情况,为制定育龄妇女生殖保健措施提供依据。
    方法根据2011—2018年浦东新区所有开展计划生育技术服务医疗机构所提供的计划生育技术服务情况和接产医疗机构产科工作情况进行历年趋势分析。
    结果计划生育技术服务中以负压吸宫术、取出宫内节育器(IUD)、放置IUD和药物流产位居前4位。计划生育技术服务平均77 320例,年技术服务量逐年下降,年均下降率为3.32%;其中避孕节育术和人工流产年均下降率分别为5.87%和1.6%。在避孕节育术中放置IUD减少速度大于取出IUD减少速度;人工流产中以负压吸宫术为主,占77.9%,静脉麻醉下的负压吸宫术占79.27%,人工流产人群中已婚育龄妇女高于未婚育龄妇女,非本市户籍育龄妇女高于本市户籍育龄妇女;2011—2018年人工流产活产比逐年下降。
    结论上海市浦东新区2011—2018年计划生育技术服务数量逐年下降,负压吸引术和取出IUD术为计划生育技术服务中的主要手术。在育龄妇女采取长期医控型避孕节育措施减少时,建议加强对育龄妇女,尤其是非本市户籍已婚育龄妇女对自控型避孕措施正确、有效使用宣教,减少非意愿妊娠和重复人工流产。

     

    Abstract:
    ObjectiveTo determine the change in the number of family planning technical services in Pudong New Area of Shanghai from 2011 through 2018, and provide scientific evidence for improving reproductive health care for women of childbearing age.
    MethodsTrend analysis was performed according to the data of family planning technical service and obstetric service records by all medical and health care facilities in Pudong New Area from 2011 through 2018.
    ResultsTop four family planning operations were vacuum aspiration, intrauterine device (IUD) removal, IUD insertion and medical abortion. The average annual number of family planning operations was 77 320, which declined over years with an average reduction rate of 3.32%. The average reduction rate of contraceptive and induced abortion was 5.87% and 1.6%, respectively. The reduction rate of IUD insertion was higher than that of IUD removal. Vacuum aspiration was the leading method of induced abortion, accounting for 77.9%, in which 79.27% was performed with intravenous anesthesia. Among the women receiving induced abortion, majority of them were married and non-local residents. The ratio of induced abortion to the live birth decreased over years from 2011 through 2018.
    ConclusionNumber of family planning technical services in Pudong New Area of Shanghai decreases from 2011 through 2018. Vacuum aspiration and IUD removal are the main operations in family planning surgery. With the decrease of long-term medically controlled contraceptive and birth control measures, it is necessary to strengthen the correct and effective use of self-controlled contraceptive measures for women of childbearing age, especially for those non-local married women, so as to reduce unwanted pregnancies and repeated induced abortions.

     

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