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中国四川省医院和计划生育诊所早期人工流产的随访研究。

A follow-up study of first trimester induced abortions at hospitals and family planning clinics in Sichuan province, China.

作者信息

Luo L, Wu S Z, Chen X Q, Li M X, Pullum T W

机构信息

Sichuan Family Planning Research Institute, Chengdu, China.

出版信息

Contraception. 1996 May;53(5):267-73.

PMID:8724615
Abstract

Four-thousand women aged 18-40 underwent an early induced abortion at hospitals and family planning clinics in six counties in Sichuan province, China, between 1 July 1990 and 30 June 1991. The subjects were followed-up three times, on days 15, 90 and 180 after the operation. Information was obtained about their age, parity, contraceptive use, social behaviors, and gynecological and psychological characteristics before and after the abortion. The results indicate that induced abortion is safe when provided by medically trained personnel in health facilities such as hospitals or clinics. Depressive symptomatology was assessed by the CES-D and SCL-90 scales. The depressive symptoms declined over time. A substantial proportion of the abortions were to unmarried women or resulted from non-use of contraception or contraceptive failure, implying that the incidence of unintended pregnancies and induced abortions could be reduced by more effective and accessible contraception.

摘要

1990年7月1日至1991年6月30日期间,在中国四川省六个县的医院和计划生育诊所,4000名年龄在18至40岁之间的女性接受了早期人工流产手术。对这些受试者在术后第15天、90天和180天进行了三次随访。收集了她们在流产前后的年龄、孕产史、避孕措施使用情况、社会行为以及妇科和心理特征等信息。结果表明,在医院或诊所等卫生机构由经过医学培训的人员进行人工流产手术是安全的。通过CES-D和SCL-90量表评估抑郁症状。抑郁症状随时间推移有所减轻。相当一部分流产手术的对象是未婚女性,或者是由于未采取避孕措施或避孕失败导致的,这意味着通过更有效且更易获得的避孕措施,可以降低意外怀孕和人工流产的发生率。

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