人工流产术后放置宫内节育器1年停用影响因素分析
Analysis of the influencing factors of abandoning long-acting reversible contraception of women with unwanted pregnancy within one year after induced abortion
吴秋静 1张晓丽 2丁枝珠 3王晓艺 4赵娟5
作者信息
- 1. 南方医科大学第二临床医学院(广州,510260);广东省第二人民医院;广东省中山市南朗医院
- 2. 广东省第二人民医院;南方医科大学第二临床医学院(广州,510260)
- 3. 广东省第二人民医院
- 4. 广东省中山市南朗医院
- 5. 广东省广州市花都区人民医院
- 折叠
摘要
目的:调查非意愿妊娠人工流产者术后放置宫内节育器(IUD)停用情况及影响因素.方法:收集2022年1-12月本院收治的人工流产者1035例,均流产术后应用IUD避孕措施,随访1年,观察IUD使用情况并分为停用组(189例)、续用组(846例).调查IUD停用原因,通过单因素分析及多因素logistic回归分析法分析人工流产者术后落实避孕措施1年内停用危险因素.结果:随访1年,人工流产术后IUD停用189例(18.4％),原因包括不良反应83例、社会心理因素100例、其他原因6例.多因素logistic分析显示,年龄低、无生育史、无重复流产、受教育程度高中及以下为人工流产者术后放置IUD停用的危险因素(OR=1.657、1.669、2.442、1.790,P＜0.05).结论:非意愿妊娠人工流产者术后放置IUD仍存在一定比例的停用情况,影响因素较多,临床需加强术前咨询、术后管理,针对性采取干预对策以提高流产后长效避孕措施的落实使用率.
Abstract
Objective:To investigate the situation and the influencing factors of abandoning long-acting reversible con-traception(LARC)of women with unwanted pregnancy within one year after induced abortion.Methods:From January 2022 to December 2022,1035 women with induced abortion were treated with LARC and were followed up for 1 year,and the situation of the abandoning LARC of the women was observed.These women were divided in group A(189 ca-ses with the abandonment of LARC)and group B(846 cases with LARC continuing used).The reasons of the abando-ning LARC of the women after abortion were investigated.The risk factors of the abandonment of LARC of the women with abortion were analyzed by univariate analysis and multivariate logistic regression.Results:In 1 year of follow-up after induced abortion,there were 189(18.4％)women with the abandonment of LARC,and the reasons of the aban-donment of LARC included the adverse reactions(83 cases),the psychosocial factors(100 cases)and other reasons(6 cases).Multivariate logistic analysis showed that the younger age,the no childbearing history,the no repeated abor-tion and the lower education level of high school of the women were the risk factors for their abandoning LARC(OR=1.657,1.669,2.442,1.790,P＜0.05).Conclusion:The women with LARC after induced abortion because of unwant-ed pregnancy still have a certain percentage of abandoning LARC,and which are influenced by many factors.The pre-abortion consult and the post-abortion management for the women should be strengthen in clinic,and the targeted in-tervention measures should be conducted to improve the implementation rate of LARC of the women after abortion.
关键词
流产后避孕/宫内节育器/停用/影响因素Key words
Post abortion contraception/Intra uterine device/Discontinuation of use/Influence factor引用本文复制引用
基金项目
花都区基础与应用基础研究区院联合资助项目(23HDQYLH15)
出版年
2024
NETL
NSTL
万方数据