| 
							
      					 | 
  					 
  					
    					 | 
   					 
   										
    					| Analysis of the Current Situation of Unintended Pregnancy in Women of Gestational Age within 2 Years after Induced Abortion | 
  					 
  					  										
						| XIA Chun, XU Juhong | 
					 
															
						| Department of Gynaecology and Obstetrics, Zhen'an County Hospital, Shangluo Shaanxi 711500 | 
					 
										
						 | 
					 
				 
				
				
					
						
							
								
									
										
											
                        					 
												
													
													    | 
													    	
														 | 
													 
																										
													
														
															
													
													    | 
													     		                            						                            																	    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.
																										     | 
														 
														
														
															| 
															    																	Received: 24 February 2023
																	    
															    															    															   	
															    															 | 
														 
														 														
															| 
																
															 | 
														 
																																									    																														 
															 | 
															
																
															 | 
													    	
															 | 
																
															
														 
														
													 
													
												 
												
												
													
																												  
															 [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. | 
														 
																																									 
												 
												
													
														
															
																
																																																																																																										
																					| [1] | 
																					. [J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(5): 777-779. | 
																				 
																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																													 
														 | 
													 
												 
											 
											
											 
											
											 
										 
									 | 
								 
							 
						 | 
					 
				 
			
		 |