流产后妇女服用口服避孕药的情况调查

doi:10.3969/j.issn.1006-7795.2013.05.022

摘要/Abstract

摘要：

目的调查流产后妇女服用口服避孕药的情况,探讨如何促进流产后计划生育服务。方法选取2011年8月至10月间在首都医科大学附属北京妇产医院计划生育科住院流产且流产后立即服用口服避孕药的48名妇女,于术后3个月及术后1年电话随访其服药情况以及避孕方法的使用情况。结果 1)避孕药服用情况及主要影响因素:14.6%(7/48)的妇女未完成1个周期避孕药的服用,主要影响因素是对服药安全性的担心;58.3%(28/48)的妇女服用1个周期后停药,主要影响因素是对避孕药的管理困难。16.7%(8/48)的妇女服用2个周期后停药,主要影响因素是对避孕药安全性的担心。10.4%(5/48)的妇女2个周期后选择继续服用避孕药。2)流产前后避孕方法的使用情况:流产前43.7%(21/48)的妇女无避孕措施,流产后3个月及流产后1年有性生活的妇女均采用避孕措施。流产后1年和3个月比较高效避孕方法即口服避孕药及宫内节育器的使用率提高,差异有统计学意义,但口服避孕药的使用比率差异无统计学意义。3)服用避孕药不良反应情况:4.2%(2/48)的妇女服药期间出现恶心不适,39.6%的妇女(19/48)担心服药的安全性。3)其他:10.4%(5/48)的妇女自觉皮肤改善。结论流产后计划生育服务能够提高妇女避孕方法的使用率。口服避孕药作为一种高效、安全的避孕方法,适合妇女在流产后立即开始使用。针对影响流产后妇女使用口服避孕药不同阶段主要的影响因素以及避孕药的非避孕益处,在不同的时机有侧重的进行咨询,同时开展多种形式的随访,有助于妇女坚持使用高效避孕方法。

关键词: 流产后计划生育服务, 避孕方法, 口服避孕药

Abstract:

Objective PAFPS (post abortion family planning service) is absolutely important for women who have just undergone abortion. We are trying to help women use effective contraceptive methods such as COC (combined oral contraceptives) immediately after abortion. This study was designed to study oral contraceptive use among women after abortion.Methods Forty eight women taking COC who had induced abortion between Aug. and Oct. 2011 in Beijing Obstetrics and Gynecology Hospital were followed up at 3 months and 12 months respectively. Questions would be asked about the use of COC. Counseling would be taken too. Forty-eight women who received two follow-ups were taken as the objects of research. Results 1.Use of two cycles COC. 14.6%(7/48)didn't finished the first cycle pills, the main influencing factor was about the security of pills; 58.3%(28/48)stopped after the first cycle, the main influencing factor was failing the management of pills. 16.7%(8/48)stopped after the second cycle mainly due to the concern about the safety of COC. Only 10.4%(5/48) continued to use pills after two cycles. 2. Use of contraceptive method. About 43.7%(21/48) women didn't used any contraceptive methods before abortion verse 100% women who had sexual life all used contraceptive methods after abortion. Compare to the ratio of use of efficient contraceptive method including COC and IUD(Intrauterine device)of 3 months after the abortion, the second follow-up showed the ratio has significantly increased. But the ratio of COC didn't increased significantly. 3. Side effect. Only 4.2% (2/48) women had felt nausea during taking pills. But almost 39.6% (19/48) women stopped taking pills because of anxious about adverse reactions. 4. Others. 10.4% (5/48) women who felt their skin of face were improved during they were taking pills.Conclusion 1PAFPS should be effective and efficient. What we did could promote the use of contraceptive methods. Oral contraceptives act as an efficient, safe, method of contraception are very suitable for women using immediately after abortion. According to our study, there were different main influencing factors in the different stage of taking pills after abortion. As a result, focused consultation including the main influencing factors as well as the non-contraception benefit, various forms of follow-up can ensure the efficient and long-term of consultation which can help women insist on using efficient methods of contraception such as COC.

Key words: post abortion family planning service, contraceptive methods, combined oral contraceptive

中图分类号:

R715.2

罗岚蓉, 李坚. 流产后妇女服用口服避孕药的情况调查[J]. 首都医科大学学报, 2013, 34(5): 746-751.

LUO Lanrong, LI Jian. Oral contraceptive use among women after abortion[J]. Journal of Capital Medical University, 2013, 34(5): 746-751.

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