流产后关爱服务患者选用避孕措施的临床研究

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Abstract Objective To explore the present situation of post abortion care（PAC）patients selecting contraception measure，and to optimize the PAC service process.Methods 1013 gestational age women because of unintended pregnancy and voluntary conducted artificial abortion to terminate pregnancy in our hospital from January 2013 to February 2014 were selected as the research group，one of contraceptive measure was voluntary selected after PAC service，all patients were divided into four groups according to the results.Group A was given subcutaneous embedding method，and 29 cases was immediately used.Group B was given oral short acting contraceptives，and 717 cases was immediately used.Group C was given intrauterine device，and 201 cases was immediately used.group D was given condom，and 66 cases was immediately used.Constituent ratio changes in 2 years in the four groups were analyzed.The repregnancy rate，the incidence rate of adverse effect，premature termination rate and satisfaction rate in the four groups after contraception was compared.Results After PAC service，the immediate use rate in group A was 2.9%，and was 5.9%after 2 years later.The immediate use rate in group B was 70.8%，and was 19.5%after 2 years later.The immediate use rate in group C was 19.5%，and was 33.4%after 2 years later.The immediate use rate in group D was 6.5%，and was 41.3%after 2 years later.The incidence rate of adverse reaction in group A was the highest，and the satisfaction rate was the lowest.The premature termination rate in group B was the highest.The satisfaction rate in group C was the highest and the repregnancy rate in group D was the highest，and there was significant difference among the four groups（P＜0.05）.Conclusion After PAC services，the patients can voluntarily choose effective contraceptive measure.Subcutaneous embedding has the disadvantages of low awareness and satisfaction.Three months after PAC，condom is still the first choice for most patients，but with the disadvantage of higher unintended pregnancy rate.PAC follow up process should be optimized.

Key words： Post abortion care Artificial abortion Contraceptive measure Subcutaneous embedding Short acting oral contraceptive Intrauterine device

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	ZHANG Yu-xia
	LIU Bing-guang
	ZHENG Zheng

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ZHANG Yu-xia,LIU Bing-guang,ZHENG Zheng. Clinical research of post abortion care patients selecting contraception measure[J]. 中国当代医药, 2016, 23(17): 60-62转65.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I17/60

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