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首页> 外文期刊>Journal of women’s health >The Association Between Multiple Abortions Within 1 Year and Previous Postabortal Desired Contraception at an Urban, Public Hospital
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The Association Between Multiple Abortions Within 1 Year and Previous Postabortal Desired Contraception at an Urban, Public Hospital

机译:1年内多次堕胎之间的关联和城市公立医院的先前初期期望的避孕措施

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Objectives: To determine the proportion of women undergoing multiple abortions within 1 year at an urban, public hospital and the association with desired contraception after the index abortion. Study Design: We conducted a retrospective analysis of all women undergoing abortion up to 13 weeks and 6 days gestation at Stroger Hospital from June 1, 2012 to May 31, 2014. We examined the proportion of women with additional abortions up to 1 year after the index abortion and contraception desired at the index abortion. We also collected data about Chlamydia trachomatis (CT) and Neisseria gonorrhea (GC) infection in surgical abortion patients, to assess suitability for intrauterine device insertion immediately postabortion. Results: Of the 5,104 women with an abortion in the study period, 720 (14.1%) had at least one additional abortion within 1 year. Among women with multiple abortions, 153 (21.3%) selected Tier 1 contraception, 359 (49.8%) Tier 2, 103 (14.3%) Tier 3, and 105 (14.6%) were undecided or desired no method. The contraception desired at the index abortion did not differ significantly between women with and without subsequent abortions (p=0.107). CT/GC coinfection and CT infection alone were associated with having multiple abortions over the 1-year period (p=0.020 and p=0.006). Conclusions: Among women presenting for abortion at an urban, public hospital, desired contraception did not differ significantly between women with multiple abortions versus one abortion within 1 year, but prevalence of CT/GC did. Women at high risk for multiple abortions may benefit from immediate postabortion IUD insertion to avoid unintended pregnancy, provided risk of infection is carefully evaluated.
机译:目标:确定在城市,公立医院和指数流产后与所需避孕措施在1年内经历多重堕胎的妇女比例。研究设计:从2012年6月1日至2014年5月1日,他们对大约13周龄和6天妊娠的堕胎和6天妊娠进行的回顾性分析。我们审查了额外堕胎的妇女的比例,最多1年指数流产和指数流产所需的避孕。我们还收集了关于衣原体堕胎患者的衣原体碎石(CT)和Neisseria淋病(GC)感染的数据,以评估宫内器件插入的适用性。结果:在研究期间5,104名堕胎的妇女中,720名(14.1%)在1年内至少有一个额外的堕胎。在具有多个堕胎的女性中,未定或未定或期望选择避孕,359(49.8%)三级避孕,359(49.8%)2,103(14.3%)3和105(14.6%)没有任何方法。在指数流产处所需的避孕患者在没有随后的堕胎(P = 0.107)之间的女性之间没有显着差异。单独的CT / GC辛纤维和CT感染与1年期间具有多重牵引(P = 0.020和P = 0.006)相关。结论:在城市,公立医院堕胎的女性中,在1年内患有多重堕胎的妇女之间的妇女之间的妇女没有显着差异,但CT / GC的普遍存在。多次堕胎风险高风险的妇女可能会受益于直接的Postabortion Iud插入以避免意外怀孕,所以提供感染风险的危险。

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