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| The effect of PAC service pattern on mental and reproductive health of unmarried women after induced abortion |
| Wuxi Maternal and Child Health Care Hospital of Jiangsu Province, Wuxi, Jiangsu Province |
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Abstract Objective: To investigate the effect of post abortion care (PAC) service pattern on mental and reproductive health of unmarried women after induced abortion. Methods: 220 unmarried women who underwent induced abortion in Wuxi maternal and child health care hospital from January to June 2017 were selected and divided into control group and observation group according to the order of admission to hospital (110 cases in each group). Women in observation group received service of PAC pattern, and women in control group received routine post abortion service. The scores of 90 symptom self rating scale (SCL-90) were compared between the two groups before and after abortion, the knowledge of contraceptive of women were evaluated also, and the rate of implementation of postoperative contraceptive, and the rate of repeated abortion in 1 year after abortion were followed. Results: 1 month after abortion, the scores on somatization, obsessive compulsive symptoms, negative emotions (anxiety, depression, hostility, horror) and psychoticism of the SCL-90 of women in observation group were significant lower than those of women in control group (P<0.05), but the mastery situation of reproductive health knowledge and rate of implementation contraceptive of women in observation group were significantly higher than those of women in control group (P<0.05). In 6 months or 1 year after abortion, the repeated abortion rate of women in observation group was 1.0% and 2.3%, which significant lower than those (6.9%, 15.5%, respectively) of women in control group (P<0.05). Conclusion: PAC service pattern is helpful to improve the mental health status of unmarried women after artificial abortion, can improve the acceptation of reproductive health knowledge and the implementation of contraceptive, and can reduce the repeated abortion of unmarried women.
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