国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2014, Vol. 33 ›› Issue (5): 355-357.

• 论著 • 上一篇    下一篇

剖宫产后哺乳期产妇非意愿妊娠分析

陆珺，何萍，黄迎   

  1. 200051 上海市长宁区妇幼保健院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-09-15 发布日期:2014-09-15

Analysis on Unwanted Pregnancy in Lactation Women after Cesarean Section

LU Jun，HE Ping，HUANG Ying   

  1. Shanghai Changning Maternity and Child Health Hospital，Shanghai 200051，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-09-15 Online:2014-09-15

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摘要： 目的：了解剖宫产后1年内非意愿妊娠发生情况及其原因，为针对性地开展干预做好基础调研。方法：采用问卷调查的方法，在产妇剖宫产后住院期间由专业调查人员进行初次问卷调查；1年（或落实长期有效的避孕方法）后，对受试对象再次进行问卷调查。结果：68.3%的产妇平时了解避孕知识的途径为网络；61.5%的产妇会在产后2～3个月开始首次性生活。产妇分娩后希望获取避孕知识最适宜的时机主要为住院期间病房医务人员指导、产后需要时自行网上查询、产后社区卫生服务中心保健人员上门访视时等。研究对象产后1年内有3.0%发生了非意愿妊娠，其中51.7%对可采用的紧急避孕方法表示不知情，72.4%不了解避孕失败后服用紧急避孕药的时间，41.4%对哺乳期妊娠及产后1年内流产的危害认识不足。结论：在正规的妇幼保健专业机构网站上设置产后避孕节育等健康保健专栏，或同时开设在线咨询与交流平台，是指导产妇避孕节育的重要途径之一。

关键词: 剖宫产术, 妊娠, 意外, 妊娠率, 问卷调查

Abstract: Objective: To investigate the unwanted pregnancy，and its causes，in those postpartum lactation women in one year after cesarean section，so as to develop personalized intervention in practice. Methods: The questionnaire survey was firstly done in those lying-in women during hospitalization after cesarean section by well-trained investigators. The questionnaire survey was done again after 1 year（or when they used effective contraceptives）. Results: 68.3% of women got the contraceptive knowledge from internet in general；61.5% of women restarted sexual activities in 2-3 months after delivery. The optimal chances for those women after childbirth to get contraceptive knowledge were medical guidance during hospitalization，query from internet by themselves, and postpartum follow-up visit by community doctors. There were 3% subjects who had their unwanted pregnancies in one year after delivery. In those women with unwanted pregnancies，51.7% women did not know the available methods of emergency contraception，72.4% women didn′t know the right time of emergency contraception，and 41.4% women did not understand the dangerousness of re-pregnancy during lactation and abortion in one years after delivery. Conclusions: The important way to guide the maternal contraception is to set some columns in the governmental websites of maternal and child health care，or/and to develop professional mechanism of online consulting.

Key words: Cesarean section, Pregnancy, unplanned, Pregnancy rate, Questionnaires