常熟市流动人口人流现状分析及生殖保健建议

目的对流动人口实施人工流产情况进行调查分析，以便更好地向流动人口提供生殖健康服务。方法对1227例人工流产妇女的病历资料进行回顾性分析。结果人工流产妇女年龄分布呈橄榄型，年龄≤20岁组及年龄≥41岁组妇女分布在橄榄的两端，21—40岁的妇女分布在橄榄的中间；2l～30岁性活跃期妇女占人工流产妇女总数的55．91％，〉30岁的妇女人工流产率下降至32．11％。未婚先孕组妇女流动人口构成比显著高于常熟户籍人口（χ2=8．93，P〈0．05）；常熟户籍人口避孕率显著高于流动人口，经比较差异有统计学意义（χ2=14．33，P〈0．05）。流动人口和常熟户籍人口病理因素流产率及多次重复流产率均无显著性差异（均P〉0．01）。结论常熟当地政府应为流动人口提供必要的生殖健康服务，加强对流动人口性知识、性健康、计划生育、优生优育知识的宣传教育，提高流动人口避孕知识知晓率和避孕率，减少非意愿妊娠的发生，降低人工流产尤其是重复人工流产率，保护流动人口的生殖健康。

Analysis of the induced abortion actuality of the floating people in Changshu and reproductive health care advice

Objective To analyze the induced abortion actuality of the floating people in Changshu and to provide better reproductive health services for them based on these data. Methods Retrospective analysis was conducted on the clinical data of 1 227 women who performed induced abortion. Results The distribution of women＇ s age was an olive. The group of women ≤20 and women ≥41 years were distributed at two ends of the olive, and the women aged 21-40 years old were distributed in the middle. The sexually active women aged 21-30 years accounted for 55.91% of the total cases performing induced abortion. The induced abortion rate of women 〉 30 years fell to 32.11%. The constitute of the floating people was higher than that of registered people in unmarried pregnant group （χ2 = 8.93, P 〈 0.05 ）. The contraception rate of the registered people was significantly higher than that of the floating people, and the difference was significant （χ2 = 14.33 ,P 〈0.05）. There were no significant differences in the rate of abortion because of pathological factors and repeated abortion rate between the floating people and the Changshu registered people （both P 〉 0. 01 ）. Conclusion The government of Changshu should provide essential reproductive health services for the floating people, and strengthen the education on sexual knowledge, sexual health, family planning, prenatal and postnatal care knowledge for them so as to improve the awareness of contraception knowledge and contraception rate, reduce the incidence of unwanted pregnancy, reduce abortion especially multiple abortion and protect their reproductive health.