Rominski Sarah D, Morhe Emmanuel S K, Lori Jody
a Global REACH , University of Michigan Medical School , Ann Arbor , MI , USA.
Glob Public Health. 2015;10(3):345-53. doi: 10.1080/17441692.2014.992799. Epub 2015 Jan 19.
Low rates of contraception in much of sub-Saharan Africa result in unplanned pregnancies, which in young, unmarried women often result in unsafe abortion. Increasing the use of highly effective forms of contraception has the potential to reduce the abortion-related mortality and morbidity. In this cross-sectional study, information collected by the post-abortion family planning counsellor was analysed. De-identified data from one year (June 2012-May 2013) were extracted from the logbook. Multivariate linear and logistic regression was performed. A total of 612 women received care for post-abortion complications from June 2012 to May 2013. Young, unmarried women, and those who were being treated for complications arising from an induced versus spontaneous abortion were more likely to report they would use 'abstinence' as their method of contraception following their treatment. This vulnerable group could benefit from an increased uptake of long-acting reversible contraceptive methods to avoid repeated unplanned pregnancies and the potential of future unsafe abortions.
撒哈拉以南非洲大部分地区避孕率较低，导致意外怀孕，而这在年轻未婚女性中往往会导致不安全堕胎。增加使用高效避孕方式有可能降低与堕胎相关的死亡率和发病率。在这项横断面研究中，对堕胎后计划生育咨询员收集的信息进行了分析。从日志中提取了一年（2012年6月至2013年5月）的匿名数据。进行了多变量线性和逻辑回归分析。2012年6月至2013年5月期间，共有612名妇女因堕胎后并发症接受治疗。年轻未婚女性以及那些因人工流产而非自然流产引起的并发症接受治疗的女性，更有可能报告称在治疗后会采用“禁欲”作为避孕方法。这一弱势群体可能会从更多采用长效可逆避孕方法中受益，以避免反复意外怀孕以及未来发生不安全堕胎的可能性。
