Lapresa-Alcalde M V, Cubo A M, Alonso-Sardón M, Doyague-Sánchez M J
Department of Obstetrics and Gynecology, Hospital Virgen de la Concha, 49022 Zamora, Spain.
Department of Obstetrics and Gynecology, Hospital Universitario de Salamanca, University of Salamanca, Institute for Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain.
Diseases. 2023 Feb 27;11(1):37. doi: 10.3390/diseases11010037.
The incidence of Voluntary Termination of Pregnancy (VTP) is an important indicator of unplanned pregnancies and the differences in the functioning of contraceptive services and the effectiveness of their use. Its analysis is essential for monitoring the well-being of women and their partners. Our aim was to analyse the socio-demographic profile of women who request voluntary termination of pregnancy in the province of Salamanca, as well as their satisfaction with the intervention and its influence on their contraceptive methods. An intervention study (before-after) designed without a control group, including all women requesting a voluntary termination of pregnancy through the Salamanca Public Health System. Socio-demographic and reproductive health variables were used. After the termination of pregnancy, a satisfaction survey and analysis of consequences were carried out. A total of 176 surveys were obtained. Women who underwent VTP in Salamanca were between 20 and 25 years old, had secondary education but were still studying or working, lived alone and had no children. The most commonly used contraceptive method was the condom (55%), followed by the pill (25%). The most frequent reason for termination of pregnancy was economic (47.7%). The abortion entailed a significant change in contraception. Whereas before the abortion only 34% used a hormonal method, 66% were willing to use one afterwards ( = 0.006). Reproductive health education needs to be improved so that couples use reliable contraceptive methods appropriately. Although women are generally satisfied with the care received during abortion, they would prefer better accessibility to the procedure and more comprehensive information about the process from a neutral stance.
自愿终止妊娠（VTP）的发生率是意外怀孕以及避孕服务功能差异和使用效果的重要指标。对其进行分析对于监测女性及其伴侣的健康状况至关重要。我们的目的是分析萨拉曼卡省请求自愿终止妊娠的女性的社会人口统计学特征，以及她们对干预措施的满意度及其对避孕方法的影响。一项无对照组的前后干预研究，纳入了所有通过萨拉曼卡公共卫生系统请求自愿终止妊娠的女性。使用了社会人口统计学和生殖健康变量。在终止妊娠后，进行了满意度调查和后果分析。共获得176份调查问卷。在萨拉曼卡接受VTP的女性年龄在20至25岁之间，接受过中等教育但仍在学习或工作，独自生活且没有孩子。最常用的避孕方法是避孕套（55%），其次是避孕药（25%）。终止妊娠最常见的原因是经济方面（47.7%）。堕胎导致避孕方式发生了显著变化。堕胎前只有34%的人使用激素方法，而堕胎后66%的人愿意使用（ = 0.006）。需要改进生殖健康教育，以便夫妻正确使用可靠的避孕方法。尽管女性总体上对堕胎期间接受的护理感到满意，但她们希望该手术更容易获得，并且能从中立立场获得更全面的过程信息。
