CMA abortion survey.

Responses to the question as to whether abortions should be performed at the woman's request during the first trimester of pregnancy were evenly divided. There was support for abortion on socioeconomic grounds, during the first trimester, from 61.5% of the respondents. Termination of pregnancy beyond the first trimester was supported by a majority of the respondents only in cases in which the woman's life is in danger (73.9%) or in which there is evidence of a severe physical abnormality in the fetus (70.6%) or in cases in which the woman's physical health is in danger (55.5%). Those who said they would not support abortion under any circumstances constitute, at most, 5.1% of the respondents. Support for the maintenance or the elimination of therapeutic abortion committees was addressed in two questions and in both cases the respondents were evenly divided. The responses to these two questions were compared and found to be logically consistent. Only physicians should perform abortions, and they should be performed in hospitals with the woman either as an inpatient or, during the first trimester, as an outpatient. The performance of first-trimester abortions in provincially approved abortion clinics was supported by 47.3% of the respondents. Of the 885 respondents who wished to see some amendment to the Criminal Code, 409 stated that the term "health" as used in the Criminal Code relative to the legal grounds for therapeutic abortion should be defined.     

上海市人工流产原因现况调查

目的调查上海市人工流产的原因,以期降低人工流产率。方法采用分层整群抽样的方法对６２９０名沪籍人流对象进行了现况调查。结果人流对象平均年龄为（２７．０±６．９）岁,已婚占６９．１％,未婚占３０．９％。人流对象中５１．８％为没有避孕措施,４５．９％为避孕方法失败,２．４％为医学原因。避孕方法失败中前三位的原因为避孕套失败（３３．８％）,宫内节育器（ＩＵＤ）原因（２９．５％）和安全期失算（１９．９％）。未婚对象中７９．５％为没有采用避孕措施。２０岁以下年龄组人流比例在下降,２０～２４岁年龄组人流比例在上升。３５～３９岁组人流比例的上升主要是由于带器妊娠增多所引起。结论建议今后应加强３５～３９岁妇女放置ＩＵＤ后的保健;加强紧急避孕知识和未婚青年避孕节育知识的宣教     

Fetal tissue transplantation and abortion decisions: a survey of urban women.

OBJECTIVE: To describe women's attitudes and predicted behaviour regarding the potential for fetal tissue transplantation (FTT) to influence abortion decisions. DESIGNS: Self-administered questionnaire survey by mail. SETTING: Academic family practice in Toronto. PARTICIPANTS: Random sample of 475 women 18 to 40 years of age selected from the family practice registry of an urban teaching hospital. Family physicians were blind to their patients' participation, and investigators were blind to the subjects' identity. Forty questionnaires were undeliverable. Of the remaining 435, 272 (62.5%) were completed. Six of the women were over 40 years of age or did not indicate their age and were excluded, which left 266 (61.1%) questionnaires for analysis. OUTCOME MEASURES: Number of women who would (a) be more likely to have an abortion if they could donate tissue for FTT and (b) feel better or worse about choosing abortion if FTT were an option, and open-ended comments about the potential for FTT to influence abortion decisions. RESULTS: Of the 266 respondents 32 (12.0%) reported that they would be more likely to have an abortion if they could donate tissue for FTT, 178 (66.9%) stated that they would not be more likely to do so, and 56 (21.1%) were uncertain. Of the 122 who indicated that they would consider an abortion if they were pregnant, 21 (17.2%) stated that they would be more likely to have an abortion if they could donate tissue for FTT, 77 (63.1%) replied that they would not be more likely to do so, and 24 (19.7%) were uncertain. The women 25 to 33 years of age were more likely to be influenced by FTT than the younger or older women, and the women 18 to 24 years were more uncertain about the influence of FTT on abortion decisions than the older women. In written responses some of the women felt that FTT might make abortion decisions easier; many were troubled that FTT might be used to justify a morally problematic abortion decision and felt that FTT should not be used to justify abortion. CONCLUSION: The data, the first of their kind gathered from from women, suggest that some women's abortion decisions may be influenced by the option to donate tissue for FTT. Further research is necessary to explore the mechanism of influence.     

上海市户籍育龄妇女人工流产原因动态监测

目的 动态监测上海市户籍育龄妇女人工流产原因，方法 对2001年全市16个人工流产原因监测点人工流产对象的人工流产原因与1999年全市19个监测点进行了对比分析。结果 人工流产对象的平均年龄下降了0.5岁；平均人工流产次数从2.2次下降到1.8次，再次人工流产对象明显下降。职业中工人，学生和个体，待业的比例在下降，而商业服务，科研教育，职员和行政工作人员的比例在上升；70.9%的未婚和47.8%的已婚人工流产对象是没有避孕措施所致，其中主要是侥幸心理。已婚人工流产对象中“不懂避孕措施”的比例在下降，但在未婚对象中上升。安全期和体外排精失败的比例在下降，而避孕套失败的比例在上升。在今后打算中，拟采用安全期和避孕针药的比例在下降，而避孕套和未考虑的比例在上升。结论 建议今后适当提前进行避孕节育知识教育，同时加强婚前检查，人工流产和分娩时避孕节育知识的宣传教育，加强个别咨询和药具供应服务。