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| Effect analysis of caring education and follow-up management for improving the long-acting reversible contraceptive used of female adolescents after abortion |
| 1. Shulan （Hang Zhou） Hospital， Hangzhou, Zhejiang Province, 310023; 2. Zhejiang Hospital，Hangzhou |
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Abstract To explore the effect of caring education and follow-up management for improving the long-acting reversible contraceptive (LARC) used of female adolescents after abortion. Methods: A total of 264 female adolescents who wanted abortion due to unexpected pregnancy were selected and divided into study group and control group by random number table method (132 cases in each group). The female adolescents in the control group were given conventional PAC services, and the female adolescents in the observation group were given caring education and follow-up management. The questionnaire scores of LARC knowledge of the female adolescents in the two groups were analyzed. The differences of the rate of LARC used after abortion immediately, the continuation rate of LARC within 6 months after abortion, the rate of repeated abortions, the rate of discontinuation rate, and the satisfaction of contraceptive effect of the female adolescents in the two groups were also analyzed. Results：Before intervention, there were no statistically significant differences in the number of items with correct answer rate above 50.0% (3 items) and the LARC knowledge score of the female adolescents between the two groups (P>0.05). The number of items with correct answer rate above 50.0% (10 items) and the knowledge score of intrauterine device (10.0±2.0) of the female adolescents in the observation group after intervention were significantly better than those (5 items and 6.3±1.8) of the female adolescents in the control group (P<0.05), and which of the female adolescents in the observation group after intervention had significantly different from those before intervention (P<0.05). The rate of LARC used after abortion immediately (51.5%), the continuation rate (48.5%), the discontinuation rate (2.9%)， and the satisfaction of contraceptive effect (97.1%) of the female adolescents in the observation group after intervention were significantly better than those (13.6%, 9.1%, and 72.2%) of the female adolescents in the control group (P<0.05). There was no significant difference in repeated abortion rate (0.8% vs. 2.3%) of the female adolescents between the two groups (P>0.05). Conclusion：Caring education and follow-up management can help to improve the female adolescents to aware LARC knowledge and to use LARC after abortion immediately，which can also improve the continuation rate of LARC，reduce the discontinuation rate of LARC，and increase the satisfaction of the contraceptive effect of the female adolescents.
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