基层医院流产后计划生育服务干预效果探讨

目的：探讨基层医院人工流产后计划生育服务的实施效果。方法选择2012年6月~2014年1月在本院要求人工流产者共2000名,采用编码单双号的方式随机分为两组,干预组1000例实施流产后计划生育服务干预,对照组1000例给予常规流产后处理,1年期满后,并比较两组的效果。结果两组患者在随访结束后再进行一次问卷调查,将失访者与计划妊娠者排除,有效问卷回收则是对照组为983例占49.15%（983/2000）,干预组为984例占48.20%（984/2000）,共计回收1967例,回收率为98.35%（1967/2000）；干预组患者干预之后明显高于对照组（P〈0.05）,干预组干预后主动采取避孕措施占78.05%明显高于对照组的51.90%（P〈0.05）,而干预组的体外射精、安全期、紧急避孕、避孕套、避孕药物、放置IUD方面均高于对照组（均P〈0.05）,干预组1年内非意愿妊娠占9.50%,再次人工流产率为3.50%分别明显低于对照组的22.10%、11.30%（均P〈0.05）。结论基层医院人工流产后计划生育服务的干预能提高育龄女性避孕节育相关知识的掌握水平,提高避孕措施使用比例,有效地降低非意愿妊娠和人工流产率,提高生殖健康水平。

Discussion on intervention effect of family planning service after abortion in grass-roots hospital

Objective To explore intervention effect of family planning service after abortion in grass-roots hospital.Methods There were 2000 patients for abortion from June 2012 to January 2012 in our hospital, with the method of coding and odd number were randomly divided into two groups, intervention group, 1000 cases of the implementation of family planning services after miscarriage intervention. Control group, 1000 cases were treated to conventional post-processing of abortion, after the expiration of one year, and compare the effect of the two groups.Results Two groups of patients at the end of the follow-up to conduct a questionnaire survey, the elimination of the pregnancy will lose visitors and plan, recycling effective questionnaire is a control group of 983 cases was 49.15% （983/2000）, intervention group of 984 cases was 48.20% （984/2000）, a total of 1967 cases, recovery was 98.35% （1967/2000）; Patients after intervention in intervention group was obviously higher than that of controls（P＆lt;0.05）, intervention group after the intervention actively using contraception（78.05%） were significantly higher than those in the control group 51.90% （P＆lt;0.05）, while the intervention group in vitro ejaculation, safety period, emergency contraception, condoms, birth control pills, placing IUD were higher than that in control group （allP＆lt;0.05）, an unwanted pregnancy（9.50%）, intervention group 1 year again abortion rate was 3.50%, significantly lower than the control group were 22.10%, 11.30% respectively （P＆lt;0.05）.Conclusion Basic-level hospitals after artificial abortion family planning service intervention can improve the control level of contraception knowledge of women of childbearing age, improve the proportion of using contraception, effectively reduce an unwanted pregnancy and abortion rate and improve the level of reproductive health.