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目的:探讨邯郸市人工流产妇女意外妊娠现状,采取针对性临床干预措施,以降低人工流产对育龄妇女身心健康的危害。方法:选择909例自愿接受人工流产的妇女进行调查分析,并根据不同情况采用具体措施进行干预。结果:909例人流妇女中,年龄在20～25岁者居多,占60.06%,未婚占44.88%,未婚中年龄≤24周岁占82.18%;文化程度以初、高中者居多(75.35%);职业以商贩、服务业者最多(57.20%);未产妇占65.94%;因避孕失败占人流原因比例最高(49.02%);两次及以上人流者占66.29%。人流次数最多7次,年龄最小14岁,最大50岁。针对上述各种因素进行的具体干预中,95%以上的人积极配合并愿意接受,后期效果很乐观。结论:针对育龄妇女,特别是未婚青少年除了开展生殖健康、性知识、性道德、性观念、人流危害性及避孕和避孕节育措施合理使用的健康教育外,采取相应的可行性干预措施更显重要,是减低人流、重复人流率及并发症发生,保护妇女身心健康的重要保障。
Objective: To investigate the status quo of unexpected pregnancy in induced abortion women in Handan City and to take targeted clinical interventions to reduce the harm of abortion to the physical and mental health of women of childbearing age. Methods: 909 women who voluntarily accepted induced abortion were selected for investigation and analysis, and specific measures were adopted to intervene according to different situations. Results: Of the 909 abortion women, those aged 20-25 years old accounted for 60.06%, unmarried 44.88%, and unmarried middle aged ≤24 years 82.18%. The majority of students of primary and senior high school education were 75.35% Most traders and service providers (57.20%), non-pregnant women (65.94%), contraceptive failure accounted for the highest proportion (49.02%), and two or more absentees accounted for 66.29%. Up to 7 times the flow of people, the youngest 14 years old, maximum 50 years old. Specific interventions for these various factors, more than 95% of people actively cooperate and are willing to accept the late results are optimistic. Conclusion: In addition to health education for women of childbearing age, especially unmarried adolescents, in addition to reproductive health, sexual knowledge, sexual morality, sexual attitudes, the harm of human traffic and rational use of contraceptive and contraceptive measures, the corresponding feasibility intervention is more important , Is to reduce the flow of people, repeated flow rate and complications, protection of women’s physical and mental health is an important guarantee.