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前来进行孕早期和孕中期堕胎的女性在社会人口统计学方面是否存在差异?

Do women presenting for first and second-trimester abortion differ socio-demographically?

作者信息

Aggarwal P, Agarwal P, Zutshi V, Batra S

机构信息

Department of Obstetrics and Gynaecology, Safdarjang Hospital and Vardhman Mahavir Medical College, New Delhi, India.

出版信息

Ann Med Health Sci Res. 2013 Apr;3(2):187-90. doi: 10.4103/2141-9248.113659.

DOI:10.4103/2141-9248.113659
PMID:23919187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3728860/
Abstract

BACKGROUND

To identify the socio-demographic differences between a sample of women who present for first-trimester and second-trimester abortion.

AIM

To determine whether women presenting late (in the second trimester) for abortion differ socio-demographically from those presenting early (in the first trimester).

MATERIALS AND METHODS

Data over 4 years for women presenting for second-trimester abortion were collected from the records of Family Planning Clinic at a public tertiary level teaching hospital in India. Eighty-four cases were analysed. The case presenting for first-trimester abortion after each second-trimester abortion was included for comparison. Information was gathered concerning age, parity, educational background, employment status, educational background of the husband, family expenditure and religion. Data were statistically analysed and significance determined using logistic regression analysis.

RESULTS

Second-trimester abortions represented 2% (84/4254) of all abortions in the study period. More women of higher age (P = 0.03) and parity (P = 0.02) and higher educational status (P = 0.04) presented for second-trimester abortion as compared to first-trimester abortion. The occupational status of the woman, husband's educational background, monthly family expenditure per person and religion did not significantly influence the time of presentation for abortion.

CONCLUSION

Second-trimester abortions are associated with both increasing age and parity and higher education. This group of educated, older and multiparous women should be one of those targeted for counseling to reduce the risks associated with second trimester abortion.

摘要

背景

确定前来进行孕早期和孕中期人工流产的女性样本在社会人口统计学方面的差异。

目的

确定晚期(孕中期)进行人工流产的女性在社会人口统计学方面是否与早期(孕早期)进行人工流产的女性存在差异。

材料与方法

从印度一家公立三级教学医院计划生育诊所的记录中收集了4年里前来进行孕中期人工流产的女性的数据。对84例病例进行了分析。将每例孕中期人工流产后前来进行孕早期人工流产的病例纳入进行比较。收集了有关年龄、产次、教育背景、就业状况、丈夫的教育背景、家庭支出和宗教信仰的信息。对数据进行了统计分析,并使用逻辑回归分析确定其显著性。

结果

孕中期人工流产占研究期间所有人工流产的2%(84/4254)。与孕早期人工流产相比,孕中期人工流产的女性年龄更大(P = 0.03)、产次更多(P = 0.02)且教育程度更高(P = 0.04)。女性的职业状况、丈夫的教育背景、人均月家庭支出和宗教信仰对人工流产的就诊时间没有显著影响。

结论

孕中期人工流产与年龄增长、产次增加和教育程度较高有关。这群受过教育、年龄较大且多产的女性应成为接受咨询以降低孕中期人工流产相关风险的目标人群之一。

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Int Perspect Sex Reprod Health. 2010 Jun;36(2):62-71. doi: 10.1363/ipsrh.36.062.10.
2
Delays in request for pregnancy termination: comparison of patients in the first and second trimesters.请求终止妊娠的延误:第一和第二孕期患者的比较。
Contraception. 2010 May;81(5):446-51. doi: 10.1016/j.contraception.2009.12.021. Epub 2010 Feb 10.
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Why do women present late for induced abortion?为什么女性会延迟进行人工流产?
Best Pract Res Clin Obstet Gynaecol. 2010 Aug;24(4):479-89. doi: 10.1016/j.bpobgyn.2010.02.005. Epub 2010 Mar 24.
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[Determinants of induced abortion delay].[人工流产延迟的决定因素]
Gac Sanit. 2009 Sep-Oct;23(5):415-9. doi: 10.1016/j.gaceta.2008.08.001. Epub 2009 Mar 5.
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Factors influencing the percentage of second trimester abortions in the Netherlands.影响荷兰中期妊娠堕胎比例的因素。
Reprod Health Matters. 2008 May;16(31 Suppl):30-6. doi: 10.1016/S0968-8080(08)31377-9.
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Reasons for second trimester abortions in England and Wales.英格兰和威尔士妊娠中期堕胎的原因。
Reprod Health Matters. 2008 May;16(31 Suppl):18-29. doi: 10.1016/S0968-8080(08)31375-5.
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Delays in seeking an abortion until the second trimester: a qualitative study in South Africa.怀孕中期才寻求堕胎的延迟情况:南非的一项定性研究。
Reprod Health. 2007 Sep 20;4:7. doi: 10.1186/1742-4755-4-7.
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Real life is different: a qualitative study of why women delay abortion until the second trimester in Vietnam.现实生活情况有所不同:一项关于越南女性为何将堕胎推迟至孕中期的定性研究。
Soc Sci Med. 2007 May;64(9):1812-22. doi: 10.1016/j.socscimed.2007.02.005. Epub 2007 Mar 13.
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