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目的:进一步了解育龄妇女意外妊娠发生的原因、影响因素及生殖健康服务需求。方法:采用自行设计问卷,对意外妊娠妇女进行面对面咨询、访谈,对选择口服短效避孕药患者给予免费提供优思明3盒,每月至门诊复查1次并领取下一盒。结果:603例妇女人流后245例(40.6%)妇女选择节育环为避孕措施,195例(32.3%)妇女接受免费口服避孕药,80例(13.3%)妇女坚持服用至第3个月。文化程度、家庭收入、前次避孕方法、婚姻状况及男伴能否主动避孕与口服避孕药使用有关(P<0.05);是否了解避孕知识及人工流产史对口服避孕药的使用并无影响(P>0.05)。结论:宫内节育器仍是农村已婚妇女的首选避孕措施,经过避孕宣教后,口服避孕药接受度提高,根据不同人群提供针对性的计划生育服务有助于降低重复流产率。
Objective: To further understand the causes, influencing factors and reproductive health service needs of pregnant women of childbearing age. Methods: Using self-designed questionnaire, face-to-face consultation and interviews were conducted among women who had unwanted pregnancies. The patients who received oral short-acting contraceptives were given 3 sets of Yasmin free of charge and checked out once a month to receive the next box. RESULTS: Of the 603 women who underwent abortion, 245 (40.6%) women chose birth control rings as contraceptive measures, 195 (32.3%) women received free oral contraceptives and 80 (13.3%) women persisted for up to 3 months. The level of education, family income, previous contraception methods, marital status and male partner’s active contraception were related to the use of oral contraceptive pills (P <0.05); no knowledge of contraceptive knowledge and history of induced abortion had any effect on oral contraceptive use P> 0.05). Conclusion: IUD is still the preferred method of contraception for married women in rural areas. After contraception, the acceptance of oral contraceptive pills is increased. Providing targeted family planning services according to different groups can help reduce the rate of repeat abortion.