Abstract：【Objective】To investigate the current situation of unintended pregnancy in pregnant women within 2 years after induced abortion. 【Methods】A total of 875 pregnant women who underwent induced abortion in Department of Obstetrics and Gynecology of Zhen 'an County Hospital from March 2017 to May 2019 were selected by cluster sampling method. We investigated the demographic characteristics of pregnant women who underwent induced abortionto analyze the incidence of unintended pregnancy within 2 years after induced abortion. The causes of unintended pregnancy within 2 years after induced abortion were further analyzed. Cox regression model was used to reveal the risk factors of unintended pregnancy in pregnant women within 2 years after induced abortion. 【Results】Among 875 pregnant women who underwent induced abortion, married women accounted for 74.51%, women aged 25-30 accounted for 43.66%, first-time mothers accounted for 52.00%, women who had a history of cesarean section accounted for 40.11%, and women who had induced abortion ≥2 times accounted for 65.80%. Among 875 pregnant women who underwent abortion, 92 (10.51%) had unintended pregnancy within 2 years after abortion. The rates of unintended pregnancy within 2 years after induced abortion were significant differences in aspect of age, birth time, number of induced-abortion, education level and professional women (P<0.05). There was no significant difference in the rate of unintended pregnancy within 2 years after abortion among women with different marital status, gestational times, cesarean section history and gestational weeks (P>0.05). Among 92 cases of women with unintended pregnancy within 2 years after induced abortion, 52.17% did not take contraceptive measures; And the failure rate of contraception was 34.78%, of which 19.57%, 6.52%, 4.35%, 3.26% and 1.09% were condoms, emergency contraceptives, safe periods, intrauterine devices (IUD) and compound oral contraceptives, respectively; The rest 12 cases were missing reasons, accounting for 13.04%.Cox results showed that the risk of unintended pregnancy was higher in pregnant women aged 19-24 years, who did not give birth and induced abortion ≥3 times within 2 years after abortion. 【Conclusion】The incidence of unintended pregnancy within 2 years after induced abortion is high in pregnant women, and the risk of unintended pregnancy within 2 years after induced abortion is higher in pregnant women aged 19-24 years, who have not given birth and have more induced abortions.
夏春, 徐菊红. 孕龄期女性人工流产术后2年内非意愿妊娠发生现状分析[J]. 医学临床研究, 2024, 41(4): 544-547.
XIA Chun, XU Juhong. Analysis of the Current Situation of Unintended Pregnancy in Women of Gestational Age within 2 Years after Induced Abortion. JOURNAL OF CLINICAL RESEARCH, 2024, 41(4): 544-547.
[1] 谷亚利,梁国庆.瑞芬太尼联合丙泊酚麻醉在无痛人工流产中的应用价值[J].医学临床研究,2021,38(7):1079-1081.
[2] SEDGH G, SINGH S, SHAH I H, et al. Induced abortion: incidence and trends worldwide from 1995 to 2008[J].Lancet,2012,379(9816):625-632.
[3] 任正洪,安琳. 1990-2012年中国妇女人工流产状况及其变化趋势[J].中国生育健康杂志,2015(2):108-111.
[4] NANVUBYA A, MATOVU F, ABAASA A, et al. Abortion and its correlates among female fisherfolk along lake victoria in uganda[J].J Family Med Prim Care,2021,10(11):3968-3975.
[5] 杨彩霞,赵旭红,李玉艳,等. 我国产后二年内非意愿妊娠发生现状及其影响因素[J].中华妇产科杂志,2021,56(9):616-621.
[6] 潘彩君,王建梅,邱小楠,等. 人工流产女性非意愿妊娠现状调查分析[J].中国计划生育和妇产科,2017,9(3):68-71.
[7] 杜二球,高霞,李咏梅,等. 610例育龄期女性非意愿妊娠人工流产的临床分析[J].中国妇幼健康研究,2017,28(4):439-440.
[8] 郑燕彩,蓝婷婷,吕倩宝. 基于PDCA循环的关爱咨询指导在非意愿妊娠人工流产女性中的应用[J].齐鲁护理杂志,2021,27(12):145-147.
[9] 孙盼盼,蒋丽芳,张军喜,等. 河南省育龄妇女产后2年内非意愿妊娠发生率分布及影响因素[J].中国生育健康杂志,2022,33(2):119-123.
[10] 张琦,刘铭忆,陈沂,等. 非意愿妊娠群体生殖健康知信行与重复人工流产因素分析[J].生殖医学杂志,2021,30(8):1040-1047.
[11] 中国医师协会生殖医学专业委员会. 高龄女性不孕诊治指南[J].中华生殖与避孕杂志,2017,37(2):87-100.
[12] 冯永亮,楼超华,牛红峰,等. 未婚人工流产女性非意愿妊娠情况及影响因素研究[J].中国计划生育学杂志,2011,19(8):469-472.
[13] 宫喜双,金惠敏,赵振,等. 人工流产后关爱咨询指导对剖宫产术后非意愿妊娠女性避孕行为和心理健康的影响[J].新医学,2020,51(4):310-314.
[14] 周聪,郑玉华,肇丽杰,等. 流产后关爱服务对非意愿妊娠未婚女性避孕行为及身心健康的影响[J].中国性科学,2020,29(8):138-142.
[15] 林向斌,李治亲,黄坚福,等. 海南地区1095例非意愿妊娠人工流产女性流行病学调查分析[J].海南医学,2020,31(15):2021-2024.
2024, Vol. 41 
