Chhabra S, Gupte N, Mehta A, Shende A
Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, India.
Stud Fam Plann. 1988 Jul-Aug;19(4):244-7.
This study reports on 2,755 women seeking medical termination of pregnancy (MTP), and concurrent contraceptive acceptance, at a clinic in rural India from 1976 to 1987. The level of contraceptive acceptance among married women seeking MTP between 1976 and 1987 was 88.2 percent. Among married women seeking MTP in their first trimester of pregnancy, 43.4 percent accepted the IUD as a method of contraception and 41.8 percent accepted sterilization. By contrast, only 11.5 percent of women in their second trimester accepted the IUD, but 70.2 percent accepted sterilization. Seventy-two percent of the unmarried women and 43 percent of the married women seeking MTP were in their second trimester. Recommendations are made to: (1) combine contraceptive services and counseling with MTP whenever possible, (2) examine the consequences of policies that exclude unmarried women from contraceptive services, (3) investigate the reasons why so many women in this study sought MTP so late in pregnancy, and (4) obtain information on the determinants of contraceptive acceptance among women who seek MTP.
本研究报告了1976年至1987年期间在印度农村一家诊所寻求人工终止妊娠（MTP）及同时接受避孕措施的2755名女性的情况。1976年至1987年期间，寻求人工终止妊娠的已婚女性中接受避孕措施的比例为88.2%。在妊娠早期寻求人工终止妊娠的已婚女性中，43.4%接受宫内节育器作为避孕方法，41.8%接受绝育手术。相比之下，妊娠中期的女性中只有11.5%接受宫内节育器，但70.2%接受绝育手术。寻求人工终止妊娠的未婚女性中有72%以及已婚女性中有43%处于妊娠中期。研究提出了以下建议：（1）尽可能将避孕服务和咨询与人工终止妊娠相结合；（2）审视将未婚女性排除在避孕服务之外的政策的后果；（3）调查本研究中如此多女性在妊娠后期才寻求人工终止妊娠的原因；（4）获取寻求人工终止妊娠的女性接受避孕措施的决定因素的信息。
