Characteristics and trends of induced abortions: a retrospective study in Xiamen from 2014 to 2018
10.3760/cma.j.cn101441-20190908-00410
- VernacularTitle:2014—2018年厦门市人工流产妇女特征及其变化趋势
- Author:
Zhenyu LUO
1
;
Wenrong WANG
1
;
Dongning CHAI
1
;
Ruide SU
1
;
Lingling ZHUANG
1
;
Yupin SHEN
1
;
Meiying HU
1
;
Hailan SHEN
1
;
Yingyin CAI
1
Author Information
1. 厦门大学附属妇女儿童医院/厦门市妇幼保健院计划生育科 361001
- Publication Type:Journal Article
- Keywords:
Abortion, induced;
Retrospective study;
Postpartum contraception;
Long-acting reversible contraception
- From:
Chinese Journal of Reproduction and Contraception
2020;40(6):490-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics and trends of women who underwent induced abortion in recent years, and to provide more evidences to decrease induced abortion rate.Methods:A retrospective study was conducted on women who underwent induced abortions in the Family Planning Department of Women and Children’s Hospital of Xiamen University from January 2014 to December 2018.Results:Of the 28 529 women with induced abortion, the age was (28.77±5.78) years old. Women aged 25-34 years accounted for 58.1%, 67.0% of women were married, 62.5% had a history of delivery, 24.0% were in their first pregnancies, 30.3% had induced abortion for twice, 21.5% were for three times and more (the maximum frequency of induced abortion was 14). About 16.1％ induced abortion women had a history of cesarean section，and rate showed an increasing trend in the five years (16.2%, 15.0%, 15.9%, 16.6%, 16.9%), but the difference was not statistically significant ( P=0.054). From 2014 to 2018, the age of induced abortion women [(28.05±5.69) years, (28.47±5.62) years, (28.70±5.80) years, (29.03±5.81) years, (29.59±5.82) years, P<0.001] and the percentages of married women （63.2%, 66.8%, 66.9%, 67.2%, 70.9%）, women with two or more children （11.8%, 15.4%, 20.2%, 25.2%, 32.2%） and women undergoing at least a second abortion over 35 years old （21.7%, 22.1%, 23.4%, 26.7%, 29.9%） increased every year (all P<0.001). However, among the induced abortion women, the percentages of unmarried women （36.8%, 33.2%, 33.1%, 32.8%, 29.1%）, women who haven’t bear children （42.9%, 38.4%, 37.8%, 36.3%, 32.4%）, women with the first pregnancy （26.2%, 23.8%, 24.7%, 23.4%, 21.8%） and women under 24 years old （29.3%, 25.3%, 24.7%, 24.1%, 21.5%） decreased during the five years period (all P<0.001). Conclusion:The incidence rate of induced abortion among married women with children is the highest, so special attention should be paid to postpartum women in family planning services, and it is urgent to launch postpartum contraceptive services and promote long-term reversible contraceptive measures.
