CAJ | 학술논문

目的：了解非意愿妊娠行人工流产女性的人口学特征及既往流产史和探讨流产后咨询服务(PAC)对认识和使用高效避孕措施的效果，减少重复流产的发生，保护女性的生殖健康和心理健康，为持续质量改进提供科学依据。方法：对2012年11月-2013年11月在江苏省妇幼保健院计划生育门诊确认怀孕早期并要求中止妊娠的1985例育龄女性进行流产后首次、1个月、3个月分别进行避孕咨询服务。结果：流产后咨询服务实施后避孕措施的选择有明显变化，使用高效避孕方法的比例增高。结论：流产后咨询服务临床效果显著，社会意义重大，值得推广，但仍需加强随访、人工流产术后延续性宣教等措施。
목적：료해비의원임신행인공유산녀성적인구학특정급기왕유산사화탐토유산후자순복무(PAC)대인식화사용고효피잉조시적효과，감소중복유산적발생，보호녀성적생식건강화심리건강，위지속질량개진제공과학의거。방법：대2012년11월-2013년11월재강소성부유보건원계화생육문진학인부잉조기병요구중지임신적1985례육령녀성진행유산후수차、1개월、3개월분별진행피잉자순복무。결과：유산후자순복무실시후피잉조시적선택유명현변화，사용고효피잉방법적비례증고。결론：유산후자순복무림상효과현저，사회의의중대，치득추엄，단잉수가강수방、인공유산술후연속성선교등조시。
Objective:To investigate the demographic characteristics of women with unwanted pregnancies ending in abortion along with their history of abortion and to evaluate the effectiveness of post abotion contraceptive counseling on acceptability and usage of highly effective contraceptive methods, aiming to reduce rates of repeated abortion, protect women’s reproductive health and mental health, and provide scientific basis for continuous quality improvement. Method: The investigation was conducted from November 2012 to November 2013, enrolling 1985 women who requested to terminate pregnancies at the clinics of family planning in Jiangsu Women and Children Health Hospital.Contraceptive counseling was performed immediately, 1 month, 3 months respectively after the abortion.Result: The post abortion care(PAC) increased the rate of acceptance and usage of highly effective contraceptive methods.Conclusion: PAC has a significant clinical effect and social significance, and is worth of promoting.Postoperative follow-up and continuous health education should be further strengthened.