Study On The Psychosomatic Behavior And Reproductive Health Status Of Repeated Abortion Among Unmarried Adolescents

OBJECTIVE:To study the psychosomatic symptoms,status of reproductive health and contraceptive use among the unmarried adolescents undergoing repeated induced abortion,and to know what they undertstand and how to get the knowledge about reproductive health care and contraceptive methods,and give reference and advice on supplying the good Post Abortion Care and reduce the rate of reapeated abortion of them in the department of family planning in hospital.METHODS:From 2007.7-2007.11,we investigated 100 repeated abortion of unmarried adolescents below 24 years of age in two hospitals in Tianjin,adopting Symptom Checklist 90(SCL-90),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and reproductive health questionnaire.To determine the situation of reproductive tract infections(RTIs)through gynecological examination and laboratory tests.The data was analyzed by SPSS 11.0 statistical software.RESULT:The mean age of study object was 21.18±2.46 years with minimal age as 15 years old.The mean age of first sexual life was 19.51±2.32 years,and the age of first induced abortion was 20.24±3.11 years.The number of sexual partners of studied group was 1.32±1.05.The mean times of induced abortion previously was1.96±1.44,and the maximum was 9 times.There were 32 women seeking repeated abortion within 6 months from the time of induced abortion previously,9 of them had pregnancy once again within 1 month after abortion,31 women had pregnancy once again within 1 year and 29 women within 2 years.49%of them asked for contraceptive measures initiativly after previous abortion,45%searched for information from their doctor and only 25%of them got the advice.The reason for 56%unwanted repeated pregnancy was no contraception.The contraceptive failure mainly because unreliable contraceptive methods use.In this study,The SCL-90 show high frequency positive symptoms,and the SCL-90 factor scores were higher than normal model on average;the scores on some sub-scales,depression,somatization,anxiety,hostility,interpersonal sensitivity and psychoticism,were significantly different between this group and Normal mode (P＜0.05).For the studied population,the average total index scores of SAS and SDS were higher than those of Normal mode(P＜0.05).The prevalence of RTIs in this study was 56%,and there are 37 women among them were suffering from sexually transmitted diseases.Among all the diseases,the chronic cervicitis had the highest prevalence rate of 40.0%,the morbidity rate of 'cervical erosion' degreeⅠ,ⅡandⅢwas 21.0%,10.0%and 9.0%respectively.The prevalence of BV,VVC and TV among this study was 33.0%,25.0%and 7.0%,the morbidity rate of other RTIs(Chlamydia tracomatis,Condyloma acuminata, Gonorrhea)was 6%.The risk factor of genital duct infected diseases were the number of abortion was more than 2 times,the age of first sexual behavior was less than 18 years,there are more than 2 sexual partners,having sexual intercourse more than 3 times a week,and so on.CONCLUSION:The main reason of repeated induced abortion among unmarried adolescents was the deficiency of the knowledge on reproductive health and contraceptive,They did not use effective contraceptive measures or not use accurately contraceptive measures after abortion.Abnormal mental status and RTIs are the main problems on reproductive health among unmarried repeated abortion adolescents.We should give them the psychological counseling and contraceptive advice,after induced abortion to prevent repeated pregnance among unmarried adolescents.Post Abortion Service must be conducted in the hospital.