国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2010, Vol. 29 ›› Issue (5): 329-332.

• 论著 • 上一篇    下一篇

上海市流动人口产后即时放置宫内节育器的需求及障碍分析

黄咏梅,庄婵娟,朱昊平,毛美丽,陈秋菊,程利南   

  1. 200030 上海，中国福利会国际和平妇幼保健院，上 海市计划生育技术指导所（黄咏梅）；上海市闵行区浦江社区卫生服务中心（庄婵娟,毛美丽）；上海市闵行区中心医院（朱昊平）；上海市计划生育科学研究所（陈秋菊，程利南）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-09-15 发布日期:2010-09-15
  • 通讯作者: 程利南

A Study on Need and Obstacle of Immediate Postplacental Insertion among Internal Migrant Women in Shanghai

HUANG Yong-mei, ZHUANG Chan-juan, ZHU Hao-ping, MAO Mei-li, CHEN Qiu-ju, CHENG Li- nan   

  1. International Peace Maternal and Child Health Hospital of China Welfare Institute, Institute of Family Planning Technique Instruction, Shanghai 200030, China（HUANG Yong－mei）；Community Health Centre of Pujiang District, Shanghai 201112，China （ZHUANG Chan－juan, MAO Mei－li）；Minhang District General Hospital, Shanghai 201100，China （ZHU Hao-ping)Shanghai Institute of Planned Parenthood Research, Shanghai 200032，China（CHEN Qiu－ju, CHENG Li－nan）
  • Received:1900-01-01 Revised:1900-01-01 Published:2010-09-15 Online:2010-09-15
  • Contact: CHENG Li-nan

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摘要： 目的：了解流动人口女性产后立即放置（IPPI）宫内节育器的需求，医务人员对IPPI 的态
度，探讨在平产分娩点提供IPPI 服务的可能性及障碍。方法：对841 例非上海户籍的孕产妇和343 例医务
人员进行问卷调查，并选取16 例医务人员进行小组访谈。定量数据使用EpiData3.1 建立数据库，SAS6.12
进行统计分析。小组访谈资料采用定性研究方法分析。结果：37.0%的孕产妇愿意接受IPPI。多因素分析
提示：随年龄增长，愿意接受IPPI的比例显著增加；剖宫产者较阴道分娩者更易接受IPPI。调查孕产妇不
愿意接受IPPI的原因有：不了解、准备使用其他避孕方法及担心不良反应等。仅有7.3%的医务人员对
IPPI 持赞成态度，不赞成的理由包括：产后生殖系统尚未恢复；IUD 易脱落、移位；哺乳期子宫质软，手术
风险大等。结论：IPPI在外来孕产妇平产分娩点有一定的需求，可利用平产分娩点现有医疗条件，为流动
人口妇女提供IPPI服务。但有必要对医务人员进行IPPI 技术上和理论上的反复培训，转变医务人员的服
务意识和服务态度。

关键词: 人口, 居住流动性, 分娩, 宫内避孕器, 产后保健, 卫生服务需求, 影响因素分析, 统计学

Abstract: Objectives: To learn about the need of immediate postplacental insertion （IPPI）among
internal migrant women and health providers’attitude about IPPI and explore the possibility of providing IPPI
at hospitals where provide delivery services at affordable prices for impoverished migrant women. Methods:
Questionnaire surveys were carried out among 841 internal migrant women and 343 health providers，and 16
health providers were chosen to participate in group interviews. EpiData 3.1 was used for data management and
SAS6. 12 was performed for quantitative data analysis. Qualitative data was analyzed by qualitative methods. Results: Out of 841 internal migrant women，37.0 percent were willing to accept IPPI. Unconditional
multivariate logistic regression showed that women with elder age and cesarean section were associated with
increased possibility of IPPI. Main causes of declining IPPI included ignorance，willingness to use other
contraceptive methods，and concerns about side effects. Only 7.3 percent of interviewed health providers
agreed with IPPI. Reasons of health providers disagree with IPPI included that reproductive system has not yet
resumed，IUD easy to fall off，and higher risk for surgery among lactation，etc. Conclusions: Over one third
migrant women are willing to accept IPPI. Hospitals providing delivery service for impoverished migrant women
are appropriate place for IPPI. Moreover，it is necessary to provide technological and theory training for health
providers to change their service awareness and attitude.

Key words: Population, Residential mobility, Parturition, Intrauterine devices, Postnatal care, Health services needs and demand, Relating Factor analysis, statistical