CAJ | 학술논문

目的研究探讨建立一种对避孕措施的指导和随访模式,提高避孕措施尤其短效避孕措施的正确使用率,降低非意愿妊娠的发生.方法在门诊要求人工流产并于术后2年需要避孕的服务对象102例.在术前准备时,对服务对象做好咨询服务、生殖健康教育与避孕方法指导和选择,并进行密切随访服务.结果人工流产即时放置宫内节育器(IUD)16例,术后半年IUD下移取出术后改用避孕套1例,采用短效避孕措施86例,术后6月内放置IUD6例.除1例失访外,均未出现非意愿妊娠.结论对流产后的服务对象重在时机,开展避孕方法的知情选择,及时落实长效或短效避孕措施,并进行密切规范的随访服务,从而提高服务对象避孕知识知晓率,达到提高避孕有效率,降低非意愿妊娠的发生.
목적 연구탐토건립일충대피잉조시적지도화수방모식,제고피잉조시우기단효피잉조시적정학사용솔,강저비의원임신적발생.방법 재문진요구인공유산병우술후2년수요피잉적복무대상102례.재술전준비시,대복무대상주호자순복무、생식건강교육여피잉방법지도화선택,병진행밀절수방복무.결과 인공유산즉시방치궁내절육기(IUD)16례,술후반년IUD하이취출술후개용피잉투1례,채용단효피잉조시86례,술후6월내방치IUD6례.제1례실방외,균미출현비의원임신.결론 대유산후적복무대상중재시궤,개전피잉방법적지정선택,급시락실장효혹단효피잉조시,병진행밀절규범적수방복무,종이제고복무대상피잉지식지효솔,체도제고피잉유효솔,강저비의원임신적발생.
Objective To explore the establishment of a pattern of instruction and follow-up of contraception to correct contraceptive use, especially short-acting contraceptives, reducing the incidence of unwanted pregnancy. Methods 102 women who required abortion and contraception for 2 years at our clinic were included in this study. The preoperative preparation included consulting services, reproductive health education, instruction and seletion of contraceptive use, and close follow-up. Results 16 women received immediate placement of IUD after abortion; one used comdoms and 86 used short-acting contraception six months after IUD removal. 6 women received IUD placement within 6 months. No unwanted pregnancy occurred in all the women except follow-up was lost in one women. Conclusions The post-abortion clients lies the timing, informed choice of contraceptive methods, timely implementation of long- or short-acting contraceptive methods, and regular family planning service networks, and close follow-up. Thereby the awareness of contra- ceptive methods is increased to improve the contraceptive efficiency and reduce the incidence of unwanted pregnancy.