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尼日利亚女性避孕失败情况:妊娠结局及后续避孕选择

Failed contraception in Nigerian women: outcome of pregnancy and subsequent contraceptive choice.

作者信息

Ogedengbe O K, Giwa-Osagie O F, Nwadiani K, Usifoh C

机构信息

Department of Obstetrics and Gynaecology College of Medicine, University of Lagos, Nigeria.

出版信息

Contraception. 1991 Jul;44(1):83-8. doi: 10.1016/0010-7824(91)90108-r.

DOI:10.1016/0010-7824(91)90108-r
PMID:1893703
Abstract

The outcome of pregnancy in 56 patients who had contraceptive failure out of the 5,431 new acceptors at the Family Planning Clinic of the Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, between 1 January 1981 and 31 December 1989, were analysed. There were 40 IUD, 6 OC, and 4 injectable failures. Three patients had had voluntary surgical contraception (VSC) and 3 used barrier methods. The mean +/- SD age and parity were 32.2 +/- 4.4 years and 4.4 +/- 1.9, respectively. There were 17 (30.1%) live births, 34 (56.6%) terminations of pregnancy and 3 (5.2%) spontaneous abortions. Two (3.0%) patients were lost to follow-up. There was neither any statistically significant difference in the outcome of pregnancy between patients with 5 or more children and less than 5 children (p greater than 0.05), nor between patients less than 31 years of age and those older. Fifty per cent of the patients who had used the IUD continued with the method. Seven patients subsequently requested VSC. None of the patients using the injectable contraceptive or barrier methods continued with the method (p greater than 0.05).

摘要

对1981年1月1日至1989年12月31日期间在拉各斯大学医学院妇产科计划生育诊所的5431名新接受避孕措施者中56例避孕失败患者的妊娠结局进行了分析。其中有40例宫内节育器(IUD)失败、6例口服避孕药(OC)失败和4例注射用避孕药失败。3例患者曾进行过自愿绝育手术(VSC),3例使用屏障避孕法。平均年龄±标准差为32.2±4.4岁,平均产次为4.4±1.9。有17例(30.1%)活产、34例(56.6%)终止妊娠和3例(5.2%)自然流产。2例(3.0%)患者失访。5个及以上孩子的患者与孩子少于5个的患者之间,以及年龄小于31岁的患者与年龄较大的患者之间,妊娠结局均无统计学显著差异(p>0.05)。使用IUD的患者中有50%继续采用该方法。7例患者随后要求进行VSC。使用注射用避孕药或屏障避孕法的患者中无人继续采用该方法(p>0.05)。

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