The Survey Of The Reproductive Health About Childbearing Age Women In Parts Of Hunan Changsha

Objective:To understand the health status about reproductive women in parts of Hunan Changsha through investigation. Providing scientific basic for promoting the work of family-planning,material and child hygiene.Methods:Select 1010 women of child-bearing age from 20-49 years old totally who were investigated with questionnaire,gynecological examination and transvaginal ultrasound in the Second Xiangya Hospital and the infirmary of junction town of Changsha county from July 2013 to March 2014. The data is used in statistical analysis. Import all the information of research into Epidata statistical software to build a database. Then use the statistical software SPSS 19.0 to make an analysis.In this paper, the data from the Project supported by the Twelfth Five-year National Science and Technology(2012BAI32B00).Results:1.Basic information:the survey’s age between 20 to 49.The average age was (36.17±7.60). The proportion of active spontaneous check-up was 60%,the rural population and urban population were 21.89% and 93.83% respectively. The family habitation manner of rural and urban were 53.27%、 46.73%. The proportion in animal husbandry, professional and technical, commercial, housewives and the other were 34.55%、17.23%、 16.44%%、15.25%、16.53%. The degree of education in primary school, middle school, high school, university were 5.15%、40.20%、24.85%、29.80%. Married people accounted for 90.30%.2.BMI index:the average BMI index was (22.01 ± 5.45) in the investigation object. The differences in different age groups of BMI were statistically significant, with increasing age group, the average BMI was gradually increased(P<0.05).3.The fertility:the proportion of people who have given birth was 85.35%.The average age of first birth was (24.95 ± 3.01). The proportion of natural childbirth was 69.93%, the proportion of caesarean section was 30.07%, the proportion of one child was 68.21%.4.The situation of menarche:the average age of menarche women of child-bearing age was (13.78 ± 1.36). The differences in different age groups of menarche age were statistically significant,with the younger age group, the average age of menarche gradually advance(P<0.05).Urban women age at menarche was significantly earlier than rural women(P<0.05).5.The situation of contraception: the proportion of active contraceptive methods in tools was 54.63%, IUDs was 38.17%, oral contraceptives was 3.04%. The proportion of passive contraceptive methods with sterilization was 21.10%.The proportion of no contraception was 7.33%, the rate of non-reproductive requirements without contraception was 5.64%.6.The situation and influence of abortion:unmarried abortion rate was 12.24%,married abortion rate was 50.77% and the rate of repeat abortions was 45.68%. The prevalence of menstrual disorders abortion group (54.31%) higher than the non-labor abortion group (37.01%), chronic pelvic inflammatory disease prevalence abortion group (8.84%) higher than the non-labor abortion group (3.18%), the differences were statistically significant(P<0.05).7.Gynecological related diseases:the prevalence rate of chronic cervicitis was 39.41%,the prevalence rate of infertility was 12.28%,the prevalence rate of uterine fibroids was 9.8%, the prevalence rate of chronic pelvic inflammatory disease was 5.8%,the prevalence rate of ovarian cysts was 3.1%.Conclusion:1.There is a tendency that women of childbearing age of menarche in investigation of Changsha has been advanced.2.The contraception of women of childbearing age in investigation of Changsha are condoms and IUD while oral contraceptives used rate is low.3.The prevalence rate of abortion,repeated abortion and cesarean section are 47.03%、45.68%、30.07% in investigation of Changsha.4.The common gynecological diseases of the women in investigation of Changsha are consist of chronic cervicitis, infertility, uterine fibroids, ovarian cysts and chronic pelvic inflammatory disease.