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| Analysis on the status of contraception and fertility of women wanted to pregnancy from rural different economic level areas in Yunnan province |
| 1.Yunnan Population and Family Planning Research Institute，Yunnan Province, 650021；2.Kunming Medical University |
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Abstract Objective: To study analyzed the situations of birth control and birth of pregnant women in rural areas of Yunnan province based on the data of the national free pre-pregnancy eugenics health examination cohort, and to provide evidence for poverty alleviation through health. Methods: The basic information, contraception, and fertility status of 217,000 families participating from free pre-pregnancy eugenics health examination project in Yunnan province from 2010 to 2017 were crosssectional analyzed according to three different economic levels. Results: The proportion of young women wanted to pregnancy in poor areas was obvious. As for the women with equal to or less than 20 years old who wanted to pregnancy, which accounted for 12.5% in severe poverty-stricken areas, 9.8% in general povertystricken areas and 6.0% in non-poverty-stricken areas. The contraception rate of women who wanted pregnancy in deep poverty-stricken areas was 24.6%, which was significant lower than that of women in other areas. The rates of adverse pregnancy outcomes, spontaneous abortion rate, and spontaneous abortion history of women in general poverty-stricken areas were 10.0%, 4.5% and 4.2%, respectively, which were significant higher than those of women in other areas (P<0.05). Conclusion: The intervention and guidance based on health education, scientific pregnancy preparation, and appropriate contraception of people from povertystricken areas should be strengthen for reducing unwanted pregnancy and for decreasing returning to poverty because of fertility problem.
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