Billings Deborah L, Fuentes Velásquez Jaime, Pérez-Cuevas Ricardo
Ipas, Mexico.
Int Fam Plan Perspect. 2003 Sep;29(3):112-20. doi: 10.1363/ifpp.29.112.03.
Each year, an estimated 120,000 women in Mexico seek treatment in public hospitals for abortion-related complications--the country's fourth leading cause of maternal mortality. Models of postabortion care emphasizing counseling and provision of contraceptives have the potential to improve the quality of care these women receive.
Between April 1997 and August 1998, women treated for abortion complications in six Mexican Institute of Social Security (IMSS) hospitals in the Mexico City metropolitan area were surveyed. Data related to patient-provider interaction, information provision and counseling were analyzed for three models of care: sharp curettage standard care, sharp curettage postabortion care and manual vacuum aspiration postabortion care.
Women in the two postabortion care groups rated the quality of services they received more highly than did those receiving sharp curettage standard care. A significantly greater proportion of women treated under the postabortion care models than of those treated under the sharp curettage standard model received information about their health status before treatment, the uterine evacuation procedure, signs of postabortion complications and care at home. In addition, a greater proportion of women treated under the postabortion care models accepted a contraceptive method before leaving the facility (64-78% vs. 40%).
Implementation of a postabortion care model contributes to the delivery of high-quality services to women experiencing abortion complications. The standard IMSS model of postabortion treatment should be modified to emulate those in hospitals that systematically link general counseling and family planning services to the clinical services provided to women with abortion complications.
在墨西哥，每年估计有12万名妇女因堕胎相关并发症在公立医院接受治疗，这是该国孕产妇死亡的第四大主要原因。强调咨询和提供避孕药具的堕胎后护理模式有可能提高这些妇女所接受护理的质量。
1997年4月至1998年8月期间，对墨西哥城大都市区六家墨西哥社会保障局（IMSS）医院中因堕胎并发症接受治疗的妇女进行了调查。分析了与患者-提供者互动、信息提供和咨询相关的数据，涉及三种护理模式：刮宫标准护理、刮宫后堕胎护理和手动真空吸引堕胎后护理。
两个堕胎后护理组的妇女对她们所接受服务质量的评价高于接受刮宫标准护理的妇女。与刮宫标准护理模式相比，接受堕胎后护理模式治疗的妇女中，在治疗前了解自身健康状况、子宫排空程序、堕胎后并发症迹象和家庭护理情况的比例要高得多。此外，接受堕胎后护理模式治疗的妇女中，在离开医疗机构前接受避孕方法的比例更高（64%-78%对40%）。
实施堕胎后护理模式有助于为经历堕胎并发症的妇女提供高质量服务。应修改IMSS堕胎后治疗的标准模式，以效仿那些将一般咨询和计划生育服务与为有堕胎并发症妇女提供的临床服务系统联系起来的医院的模式。
