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目的:满足高原地区农牧民育龄妇女知情选择的需求,在西藏推广应用成熟的避孕方法。方法:对基层计划生育/生殖保健人员培训和对育龄群众开展宣传、咨询服务,落实4种避孕措施。结果:共为农牧区的1992例妇女落实了宫内节育器(IUD)、皮下埋植、单纯孕激素避孕针和复方避孕针。经6个月的两次随访,只有农区的6例IUD终止使用。4种避孕方法的副反应以月经问题为主,但对其有较好的耐受性。结论:妇女的居住地域、年龄、孕产次及哺乳情况等对其方法的选用均有一定的影响。但无论在农区还是牧区,所引入的4种避孕方法均有很好的效果和良好的可接受性和适应性。
Objective: To meet the needs of women of childbearing age in plateau area for informed choice, to promote the application of mature contraceptive methods in Tibet. Methods: Training of grassroots family planning / reproductive health workers and propaganda and counseling services to the people of childbearing age were implemented, and 4 kinds of contraception were implemented. Results: A total of 1992 women and women in the pastoral areas implemented IUDs, subcutaneous implants, progesterone-only contraceptives and compound contraceptives. After 6 months of follow-up, only 6 cases of IUD in rural areas were terminated. Four contraceptive methods side effects of menstrual problems, but its better tolerance. Conclusion: Women’s living area, age, motherhood and breastfeeding situation have certain influence on their choice of methods. However, the four contraceptive methods introduced in both rural areas and pastoral areas have good results and good acceptability and adaptability.