南昌市已婚育龄妇女中期妊娠引产状况调查.docVIP

南昌市已婚育龄妇女中期妊娠引产状况调查* 【摘要】目的了解江西省南昌市已婚育龄妇女中期妊娠引产率及人群分布情况。方法采用多阶段分层随机抽样方法抽取南昌市5468名已婚育龄妇女，对其进行社会人口学特征、婚姻、生育状况调查。结果妊娠妇女初孕年龄20岁和20岁～年龄段的中期妊娠引产率较高，分别为4.5％和4.1％(P0.001)；随着妊娠次数的增加，中期妊娠引产率亦增加；职业中以农民引产率最高(5.6％)(P0.001)；文化程度越低，引产率越高(P0.001)；居住农村 的引产率高于城镇(P=0.001)。两分类Logistic回归分析显示，结婚年限越短、家庭人年均收入越低、居住在乡村、初孕年龄越小，中期妊娠引产率高。结论育龄妇女(尤其是农村妇女)中期妊娠引产与文化、经济水平有关，晚婚晚育也是减少中期妊娠引产发生的重要措施之一。 【关键词】 已婚育龄妇女；中期妊娠引产；影响因素 Survey on condition of labor induction in mid-pregnancy among married reproductive women in Nanchang JIANG Hong-ying,HOU Qian. Department of Epidemiology,School of Public Health,Nanchang University(Nanchang 330006,China) Abstract： Objective To understand the status and the proportion of artificial abortion in married fertile women in Nanchang areas of Jiangxi province.Methods 5468 married women at child-bearing age were studied using stratified random sampling,and a special questionnaire was designed to collect information including social situation,marriage and reproductive state.Results The significantly higher incidences of midtrimester induction of labor were found among subjects less than 20 years old and 20 years old at the time of first pregnant(P0.001).More the number of pregnancy increased,the higher the incidence of midtrimester induction of labor was.The farmer had the significant highest incidence of induction of labor(P0.001).Lower the level of education was,the higher the incidence of midtrimester induction of labor was (P0.001).Logistic regression analysis showed risk factors of less married years,family income,and protective factors of living in the cities or towns and more married years.Conclusion Midtrimester of induction of labor is associated with education,econimic condition.The important measure for reducing the incidence of midtrimester induction of labor is late marriege and pregnancy. Key words： married women at child-bearing age;midtrimester of pregnancy;induction;influence factor 由于中期妊娠可以通过B超检查鉴别胎儿性别，因而育龄妇女常对中期妊娠的女婴采取选择性引产手术。中期妊娠引产术并发症多，对育龄妇女身心健康带来严