Wokoma Tonye Telema, Jampala Malathi, Bexhell Helen, Guthrie Kate A, Lindow Stephen W
Registrar, Sexual and Reproductive Healthcare, Conifer at Wilberforce Centre, Hull and Department of Obstetrics and Gynaecology, Hull Royal Infirmary, Hull and East Yorkshire NHS Trust, Hull, UK.
GP Registrar, Lupset Surgery, Wakefield, UK.
J Fam Plann Reprod Health Care. 2015 Jul;41(3):186-92. doi: 10.1136/jfprhc-2013-100745. Epub 2014 Jun 10.
To determine the main reasons for termination of pregnancy (TOP) requests in a UK city.
A survey requesting reasons for a pregnancy termination from women attending a TOP clinic.
A TOP pre-assessment clinic in Hull and East Yorkshire Hospitals, UK.
A cohort of pregnant women requesting a TOP in the first trimester.
A confidential, anonymous, self-administered questionnaire requesting demographic information about age, education, ethnicity and marital status. The questionnaire also asked for the main reasons underlying the TOP request. The main outcome measures were (1) reasons for TOP requests and (2) correlations between the reasons provided and demographic characteristics.
A total of 274 women participated in the study and 527 reasons were given. The most common reason was money worries (21.0%) followed closely by contraception failure (20.5%). The third most common reason was the anticipated effect on education or the woman's career (14.6%) Over half (59.5%) of the women were single and 8.8% were divorced or separated. Twenty-eight per cent of the respondents were aged 21 years and below, 36.1% were aged 22-29 years and 29.2% were over 30 years of age.
The main reasons for TOP requests included financial constraints, contraceptive failure, completion of family, and potential interruption of education or career. These reasons differed with age groups and marital status. Focused qualitative research on reasons for a TOP will provide further knowledge and understanding that is needed to enable optimal service provision and policy planning.
确定英国一个城市中要求终止妊娠（TOP）的主要原因。
对前往TOP诊所的女性进行一项调查，询问其终止妊娠的原因。
英国赫尔和东约克郡医院的TOP预评估诊所。
一组在孕早期要求终止妊娠的孕妇。
采用一份保密、匿名的自填式问卷，询问年龄、教育程度、种族和婚姻状况等人口统计学信息。问卷还询问了要求终止妊娠的主要原因。主要观察指标为：（1）要求终止妊娠的原因；（2）所提供原因与人口统计学特征之间的相关性。
共有274名女性参与了研究，共给出了527条原因。最常见的原因是经济担忧（21.0%），紧随其后的是避孕失败（20.5%）。第三大常见原因是预计对教育或女性职业的影响（14.6%）。超过半数（59.5%）的女性为单身，8.8%为离婚或分居。28%的受访者年龄在21岁及以下，36.1%年龄在22 - 29岁之间，29.2%年龄超过30岁。
要求终止妊娠的主要原因包括经济限制、避孕失败、完成生育以及对教育或职业的潜在影响。这些原因因年龄组和婚姻状况而异。针对终止妊娠原因的定性研究将提供进一步的知识和理解，以实现最佳的服务提供和政策规划。
