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| Influence of post-abortion care services on the using and continue using of highly effective contraception |
| Dongguan People's Hospital, Guangdong Province, 523000 |
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Abstract To explore the influence of post-abortion care (PAC) services on the using and continue using of highly effective contraception role. Methods: From April 2019 to March 2020, 11250 women who had been given routinely PAC services from Wanjiang General Hospital were included in observation group, and the women who had not been given routinely PAC services from Puji Branch Hospital were included in control group. The implementation and continue using of post abortion highly efficiency contraception of the women were compared between the two groups. Results: The implementation rate of the highly effective contraception after induced abortion (95.0%, 1187/1250) of the women in the observation group was significantly higher than that (17.1%, 214/1250) of the women in the control group (P＜0.05). In the observation group, the implementation rate of highly effective contraception after induced abortion of the women with high-risk factors was 97.3% (569/585). The continua using rates of shortacting compound oral contraceptive (COC) of the women in the observation group in the 1st, 3rd, and 6th months of followed up were 98.9%, 69.4%, and 6.1%, respectively, and the continua using rates of short-acting COC of the women in the control group in the 1st, 3rd, and 6th months of followed up were 99.2%, 56.0%, and 42.0%, respectively. The continua using rate of COC of the women with high risk factors in the observation group in the 6th months after abortion was 88.2%. The implementation rate of intrauterine device (IUD) of the women in the observation group was 34.6%, which was significantly higher than that (7.5%) of the women in the control group (P＜0.05). The continua IUD using rate of the women in the observation group in the 1st, 3rd, and 6th month after abortion were 100%, 99.1%, and 99.4%, respectively, which had no significant different from those (100%, 100%, and 98%, respectively) of the women in the control group (P＞0.05). There were 53 women given IUD inserted in the 6th month after abortion in the observation group, which included 39 women with high risk factors. There were 17 women with IUD inserted in the 6th month after abortion in the control group. Conclusion: PAC service has good clinical effect for improving the immediate implementation and continua using of the highly effective contraception of the women after abortion.
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