河南省部分农村地区育龄妇女宫内节育器使用状况及分析

摘要

目的 了解河南部分农村地区宫内节育器(IUD)使用现况.方法 采用横断面调查研究方法,选取河南省3个县,每县随机整群抽取3个乡,被抽取调查乡所有2004年7月1日至2005年6月30日期间放置IUD的育龄妇女为调查对象.结果 圆型IUD(58.34%)为主要种类;哺乳期放置(58.24%)是主要放置时期;20.40%的育龄妇女不知道还可以选择其他的避孕方法;67.4%、20.73%和14.54%的服务对象未被告知IUD的使用期限、种类和注意事项;累计失败率为8.4%,失败原因主要为脱落(58.38%)和因症取出(32.27%),失败的种类主要是圆形节育器(8.01%).结论 应及时调整宫内节育器的种类;提高避孕节育方法知情选择的程度;加强对技术服务人员操作规范的培训,提高其服务能力.%Objective To explore existing circumstance of intra-uterine device (IUD) users in the rural areas of Henan province. Methods Three villages were randomly selected from 3 counties in Henan province. All reproductive age women who received IUD during the period from July 1,2004 to June 30,2005were taken for the investigation objects. Results Round IUD(58.34%)was the most widely used type; More women(58.24%)select breast-feeding as the period to receive IUD;20.40%of reproductive age women know no other contraception methods can be chosen: Women had not been informed of the time limited(67.4%),used of IUD type(20.73%),attention(14.54%);Accumulative failure rate was 8.4%;Two main causes of failure were loss(58.38%)and remove for discomfort(32.27%);8.01%of the failures were found as round IUD user. Conclusion Kinds of IUD that government purchases for should be adjusted in time; It is still necessary to develop inside story of selecting contraception and the birth control for the whole society; Technical staffs who give family planning service should be given more good training on standards of providing family planning service, as to enhance their service.