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| Clinical research of effect of post-abortion care services on patients after induced abortion |
| LIU Tingting ZHENG Mingkang |
| Department of Gynaecology, Zhuhai City Maternity and Child Health Hospital, Guangdong Province, Zhuhai 519000, China |
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Abstract Objective To investigate the effect and clinical value of post-abortion care (PAC) services on patients after induced abortion. Methods From July 2018 to June 2019, 400 patients who underwent induced abortion in Zhuhai City Maternity and Child Health Hospital of Guangdong Province were selected for retrospective analysis. According to the intervention measures, they were divided into control group (178 cases) and experimental group (222 cases). Control group was given the introduction of basic matters needing attention before and after induced abortion, and no effective contraceptive method was adopted after induced abortion; experimental group received PAC services before and after induced abortion and adopted efficient contraceptive method after abortion. The experimental group was further divided into Ustar yue group (143 cases) and intrauterine device group (79 cases) according to the methods of contraception selected after surgery. Vaginal bleeding time after induced abortion, endometrial thickness one month after the treatment, recovery of menstruation, intrauterine adhesion, pelvic inflammation and contraception were compared between each group. Results Vaginal bleeding time in experimental group was shorter than that of control group; endometrial thickness one month after the treatment was higher than that of control group; incidence of intrauterine adhesion was lower than that of control group; menstrual recovery rate was higher than that of control group and repregnancy rate was lower than that of control group (all P < 0.01). Vaginal bleeding time in Ustar yue group was shorter than that of intrauterine device group; endometrial thickness one month after the treatment was higher than that of intrauterine device group; menstrual recovery rate was higher than that of intrauterine device group and repregnancy rate was lower than that of intrauterine device group (P < 0.05 or P ＜ 0.01). Conclusion PAC service effectively improves contraception effect and decreases incidence of induced abortion and incidence of “high-risk induced abortion”. For those who do not want to have babies and need long-time conception or with older age, intrauterine device insertion is cheap, convenient, safe and effective; for those having intention to have babies or those young women not having babies, taking orally Ustar yue has better contraception effect, and contributes to recovery of endometrium and menstruation, shortens vaginal bleeding time and decreases incidence of intrauterine adhesion. PAC service deserves promotion in clinical application.
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