药物流产服务现状调查

目的:了解药物流产相关服务现状及医护人员药物流产服务经验影响因素。方法:2009年11月～2010年5月,采用多阶段分层随机抽样方法抽取广东省深圳市和河南省计划生育中心及医院658名流产医护人员进行问卷调查。结果:药物流产相关的全身检查、超声检查、止痛、止吐、预防性使用抗生素项目每次或有时开展的比例分别为97.80%、99.20%、68.00%、74.30%和95.90%;流产服务中排除孕囊的设备(3.02分)和冲洗孕囊的设备(3.15分)是得分较低的环节;医护人员的服务经验得分中口服米非司酮和前列腺素(米索前列醇/吉美前列素)的得分为56.91分,扩宫和负压吸宫术的得分是70.29分。多因素分析显示,学历和工作年限是药物流产经验的影响因素。结论:药物流产相关的各项服务开展情况良好;排除孕囊的厕所设备和冲洗孕囊的设备是药物流产服务中相对薄弱的环节;大部分流产医护人员有药物流产工作经验。组织有经验医生对新入岗人员进行此方面培训或可提高药物流产服务水平。

Survey on medical abortion services of China

Objective： To explore the situation of medical abortion （MA） services in China. Methods：Shenzhen city and Henan Province were selected intentionally. A multiple stratified sampling method was used to choose totally 658 abortion serv- ice providers from family planning service centers （FPSC） and hospitals between Nov. , 2009 and May, 2010. Results：First- ly, 97.80% , 99.20%, 68.00%, 74.30% and 95.90% service providers reported they performed general physical checkup, ultrasound examination, analgesic therapy, alleviation of vomiting and antibiotic prophylaxis to each woman or some women when providing MA services. Secondly, as to the quality of MA services, toilet facilities for discharge of gestational sac and the gestational sac washing equipment were relatively poor, scoring 3.02 and 3.15 respectively. Thirdly, Service providers scored 56.91 on service experience in using mifepristone combined with oral prostaglandin （ or misoprostol / gemeprost） and scored 70.29 in using cervical dilation and vacuum aspiration. Multivariate analysis showed that the educational level and years of service had an impact on service expedience in MA. Conclusion ： The MA - related services are in a good situation. The toilet facilities for discharge of gestational sac and the gestational sac washing equipment need to improve. Most service providers have service experience in MA.