Analysis on the management of family planning technology services during 2011‒2020 in Changning District of Shanghai
10.19428/j.cnki.sjpm.2022.21091
- VernacularTitle:上海市长宁区2011—2020年计划生育技术服务管理情况分析
- Author:
Tingmian YUE
1
;
Beijun CAI
1
;
Shiyang CHENG
1
;
Jian SUN
2
Author Information
1. Shanghai Changning Maternity and Infant Health Hospital, Shanghai 200050, China
2. 905th Hospital of People's Liberation Army Navy, Shanghai 200023, China
- Publication Type:Journal Article
- Keywords:
universal two-child policy;
family planning;
contraception;
reproductive health;
having a second child
- From:
Shanghai Journal of Preventive Medicine
2022;34(3):274-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the management of family planning technology services in Changning District of Shanghai over the past decade， and to explore the key populations and service patterns along with changing family planning policy， so as to provide evidence for further family planning services and management. Methods Based on the routine statistics， family planning surgery， management of key populations， management of surgery quality， and contraceptive counseling from 2011 through 2020 in Changning District were retrospectively reviewed. Results The number of family planning surgery， induced abortion， midtrimester induced abortion， live births， and birth to induced abortion ratio has decreased. Majority of those who received induced abortion were non-local married women， whereas those under 19 years were principally non-local unmarried ones. In total， contraceptive counseling decreased among newly married couples and in the community. Postpartum contraceptive counseling guidance remained at a low level. Furthermore， the number of IUD placements and subcutaneous implants has reduced， suggesting the acceptance of highly effective methods of contraception needs to be improved. The percentage of immediate IUD placement following induced abortion gradually increased. In addition， the percentage of high-risk family planning surgery showed a decreasing trend， however， serious surgical complications remained. Conclusion With the “universal two-child” policy， the number of family planning surgery， especially induced abortions， has decreased significantly. It warrants a demand-driven family planning services， including strengthening the multiple health education and promoting to having a second child for key populations. Moreover， we should optimize the service process， strengthen the professional training for relevant clinicians and staff， and improve the quality of services for ensuring the mother and child health.
