| OBJECTIVE:Investigating the influence of post-abortion care for women on abortion contraception choice,which purpose is to Provide a theoretical reference for reducing the rate of repeat abortions.METHODS:The study selected women of childbearing age,who intended to terminate pregnancy in family planning clinic of The First Affiliated Hospital of Guangxi Medical University Hospital from September 2013 to April 2014 due to unwanted pregnancies.670 cases from Eastern Hospital for the study group,366 cases from West hospital for the control group,a total of 1036 cases.Traditional abortion services were given to the control group,while PAC services were implemented to the study group on the basis of the traditional abortion services.All objects are requested to fill out questionnaires before and after the abortion,learned their contraceptive behavior and related knowledge,attitudes,follow-up their usage of contraceptive in1,3 and 6 months after abortion.Female contraceptive choice and implementation of the two groups were compared after abortion,repeated abortion,contraception behaviors related knowledge,attitudes,demand for abortion services,and evaluation of physical differences in post-abortion recovery were also needed comparing.The information collected using Epidata3.1 software to establish a database double entry,all the corresponding data were analyzed by software SPSS 16.0.RESULT:1.The research group of unmarried abortion women 360 cases(53.7%),412 cases were not given birth(61.5%),college/undergraduate degree 426 cases(63.6%),184 cases in the control group were unmarried(50.3%),who did not give birth 212 cases(57.9%),college/undergraduate degree 223 cases(61.0%).2.The reason of pregnancy,the study group without contraception 280 cases(41.8%),390 cases of contraceptive failure(58.2%),199 cases in the control group without contraception(54.4%),167 cases of contraceptive failure(45.6%).Contraceptive frequency in six months before the abortion,the study group 144cases(21.5%)insist on the use of each sex,349 people(52.1%)occasionally,177 cases(26.4%)did not use,a control group of 40 patients(10.9%)insist on the use of each sex,223 cases(60.9%),occasional use,103 cases(28.1%)did not use.The top three contraceptive failures are rhythm,coitus interruptus,emergency contraception.3.Before abortion,contraceptive behavior score of the study group was 2.92±1.76,the control group was 2.74± 1.66,contraceptive attitude score of the study group was 9.75±2.73,the control group was 9.58±2.70,for abortion research group awareness score of 4.98±2.09,the control group was 4.78±2.34,scores of contraceptive knowledge among the study group was 5.96±1.83,the control group was 5.77±1.79.At first,the difference of knowledge,attitude and behavior in abortion contraception was not statistically significant(P>0.05).The degree of knowledge about contraception after abortion research group scored 9.69±1.39,the control group was 5.93±1.75.The difference of contraceptive knowledge in Study group before and after abortion was statistically significant.4.Contraception willing of post abortion women,study group willing to use contraceptive measures accounted for 93.3%,0.3%is not used,6.4%as the case may be,in the control group willing to use contraceptive measures accounted for 51.6%,6.5%is not used,subject to 41.9%,the difference was statistically significant(p<0.05).Choice of contraception after abortion,the study group chosen COC 462 patients(69.0%),IUD 111 patients(16.6%),condoms 93 cases(13.9%),in the control group selection COC 16 cases(4.4%),IUD42 patients(11.5%),181 condoms example(49.5%),55 cases no contraception program(15.0%).The rate of contraception immediate implementation after abortion in study group was 99.6%,1.1%in the control group,the difference was statistically significant(p<0.05).5.Post abortion follow-up,the study group were 646 cases(96.4%),634 cases(94.6%)and 626 cases(93.4%)in1,3,6-month respectively,in the control group respectively 272 cases(74.3%),241 cases(65.8%)and 209 cases(57.1%).The rate of effective contraceptive use in Study group one month after abortion was 99.2%,94.2%3-month,6-month to 87.4%,a month effective contraceptive use in the control group was 1.1%,3.3%three months,6 months was 9.1%.Two objects are no unwanted pregnancy occurred within a month,until 3months repeat abortion the study group was one case(0.2%),in the control group of 17 patients(7.1%),until 6 months study group repeated miscarriage 10 cases,in the control group 30 cases of repeated miscarriage.Repeat abortion rate of six months later after abortion the study group was 1.8%,in the control group was 20.8%.6.Reviewing abortion in 10?14 days after abortion study group with 640 cases(95.5%)in the control group of 62 patients(16.9%),the difference was statistically significant.The compliance and referral rate were higher among Women under PAC services after abortion.The mean bleeding time study group was 4.59±2.34 days,the control group referred 7.51± 2.25 days.Restore menstruation within a month research group accounted for 606 cases(93.8%),in the control group of 122 patients(44.9%).7.A month later the study group telephone follow-up 442(68.4%),QQ 187 people(28.9%),micro-channel 11(1.7%);control group telephone follow-up 221(81.2%),QQ 42 people(15.2%),micro-channel 6(2.2%).3-month study group telephone follow-up 251(39.5%)of people,QQ 350 people(55.2%),micro-channel 29(4.5%);control group telephone follow-up 149(61.8%),QQ 83 people(34.4%),micro-channel 6 people(2.4%).6-month study groups telephone follow-up 224(35.8%),QQ 366 people(58.5%);in the control group.telephone follow-up of 119 people(56.9%),QQ 82 people(39.2%).Telephone follow-up approach to the control group,as the main way,lost rate was higher.CONCLUSION:1.Unmarried,no birth,highly educated female were focus groups of abortion.2.Women's knowledge of contraception abortion and contraception awareness were weak,the level of knowledge of contraception was improved after PAC services,contraceptive selection of COC and IUD increased,improving the efficiency of contraception.3.Follow-up in the form of a variety was effective,increasing the confidence of women to use contraceptive methods,effectively reducing the rate of repeat abortions.4.With PAC services female body were recovered faster,satisfaction,referral and follow-up compliance were good,can stick to take contraceptive measures,and improve efficient methods of contraception usage and renewal rate.5.Not only effectively reduce the rate of repeat abortions,especially in high-risk miscarriages within six months,PAC service can also enhance the feelings between doctors and patients,establishing a good doctor-patient relationship,reducing medical risks and medical disputes,improving hospital image.So should fully promote and implement PAC services. |
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