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孕龄期女性人工流产术后2年内非意愿妊娠发生现状分析

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[目的]探讨孕龄期女性人工流产术后2年内非意愿妊娠发生现状.[方法]通过整群抽样方法,选取2017年3月至2019年5月在镇安县医院妇产科行人工流产术的875例孕龄期女性.调查行人工流产术的孕龄期女性的人口学特征,分析孕龄期女性人工流产术后2年内非意愿妊娠发生现状;分析孕龄期女性人工流产术后2年内非意愿妊娠原因;采用Cox回归模型分析孕龄期女性人工流产术后2年内非意愿妊娠的危险因素.[结果]875例行人工流产术的孕龄期女性中,已婚女性占比74.51%,年龄25~30岁女性占比43.66%,初产妇占比52.00%,有过剖宫产史女性占比40.11%,人工流产次数≥2次女性占比65.80%.875例行人工流产术的孕龄期女性中,92例(10.51%)人工流产术后2年内发生非意愿妊娠.不同年龄、产次、人工流产次数、文化程度、职业女性人工流产术后2年内非意愿妊娠率比较,差异有统计学意义(P<0.05);不同婚姻状况、孕次、剖宫产史、孕周的女性人工流产术后2年内非意愿妊娠率比较,差异无统计学意义(P>0.05).92例人工流产术后2年内非意愿妊娠女性中,未采取避孕措施占比52.17%;避孕失败占比34.78%,其中避孕套、紧急避孕药、安全期、宫内节育器(IUD)、复方口服避孕药避孕失败占比分别为19.57%、6.52%、4.35%、3.26%、1.09%;原因缺失12例,占比13.04%.Cox结果显示:年龄19~24岁、未生产、人工流产次数≥3次的孕龄期女性人工流产术后2年内非意愿妊娠发生风险较高.[结论]孕龄期女性人工流产术后2年内非意愿妊娠发生率较高,且年龄19~24岁、未生产、人工流产次数较多的孕龄期女性人工流产术后2年内非意愿妊娠发生风险较高.
Analysis of the Current Situation of Unintended Pregnancy in Women of Gestational Age within 2 Years after Induced Abortion
[Objective]To investigate the current situation of unintended pregnancy in pregnant women within 2 years after induced abortion.[Methods]A total of 875 pregnant women who underwent induced abor-tion in Department of Obstetrics and Gynecology of Zhen'an County Hospital from March 2017 to May 2019 were selected by cluster sampling method.We investigated the demographic characteristics of pregnant women who underwent induced abortionto analyze the incidence of unintended pregnancy within 2 years after induced abortion.The causes of unintended pregnancy within 2 years after induced abortion were further analyzed.Cox regression model was used to reveal the risk factors of unintended pregnancy in pregnant women within 2 years after induced abortion.[Results]Among 875 pregnant women who underwent induced abortion,married women accounted for 74.51%,women aged 25-30 accounted for 43.66%,first-time mothers accounted for 52.00%,women who had a history of cesarean section accounted for 40.11%,and women who had induced abortion ≥ 2 times accounted for 65.80%.Among 875 pregnant women who underwent abortion,92(10.51%)had unintended pregnancy within 2 years after abortion.The rates of unintended pregnancy within 2 years after induced abortion were significant differences in aspect of age,birth time,number of induced-abor-tion,education level and professional women(P<0.05).There was no significant difference in the rate of un-intended pregnancy within 2 years after abortion among women with different marital status,gestational times,cesarean section history and gestational weeks(P>0.05).Among 92 cases of women with unintended pregnancy within 2 years after induced abortion,52.17%did not take contraceptive measures;And the failure rate of contraception was 34.78%,of which 19.57%,6.52%,4.35%,3.26%and 1.09%were condoms,e-mergency contraceptives,safe periods,intrauterine devices(IUD)and compound oral contraceptives,respec-tively;The rest 12 cases were missing reasons,accounting for 13.04%.Cox results showed that the risk of un-intended pregnancy was higher in pregnant women aged 19-24 years,who did not give birth and induced a-bortion ≥3 times within 2 years after abortion.[Conclusion]The incidence of unintended pregnancy within 2 years after induced abortion is high in pregnant women,and the risk of unintended pregnancy within 2 years after induced abortion is higher in pregnant women aged 19-24 years,who have not given birth and have more induced abortions.

Pregnancy,UnplannedAbortion,Induced

夏春、徐菊红

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镇安县医院妇产科,陕西 商洛 711500

宝鸡高新医院妇产科,陕西 宝鸡 721000

妊娠,意外 流产,人工

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(4)
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