Ingelhammar E, Möller A, Svanberg B, Törnbom M, Lilja H, Hamberger L
Department of Obstetrics and Gynecology, University of Göteborg, Sweden.
Contraception. 1994 Aug;50(2):143-52. doi: 10.1016/0010-7824(94)90050-7.
In a simple random sample study of 404 women 20 to 29 years of age, 201 applying for abortion and 203 continuing their pregnancies, all were interviewed personally and requested to complete a questionnaire. The aim of the study was to analyse the use and experience of contraceptives among the abortion applicants in this age group, and to compare their experience with that of women in a matched control group. The most important reasons given for desisting in the use of contraceptives were the experience of side effects, worry about the side effects, and the "human failure" factor involved even with methods of contraception such as pills, which generally are regarded as safe. This study demonstrates that women living alone without any permanent relationship, having a strained economy or having previously had an abortion, need particular and detailed contraceptive advice plus continued close follow-up. To improve the continuation rate, precise contraception counselling focusing on both positive and adverse effects to reduce worry seems essential.
在一项针对404名20至29岁女性的简单随机抽样研究中，201名申请堕胎，203名继续妊娠，所有女性均接受了个人访谈并被要求填写问卷。该研究的目的是分析这个年龄组中申请堕胎女性的避孕方法使用情况和经历，并将她们的经历与匹配对照组女性的经历进行比较。停止使用避孕措施的最重要原因是副作用经历、对副作用的担忧以及即使使用通常被认为安全的避孕方法（如避孕药）也存在的“人为失误”因素。这项研究表明，独居且没有任何长期关系、经济紧张或曾有过堕胎经历的女性需要特别详细的避孕建议以及持续密切的随访。为提高避孕措施的持续使用率，针对积极和不良影响进行精确的避孕咨询以减少担忧似乎至关重要。
