[特写] [close-up]

　　雷敏(化名)家住武昌大东门，今年27岁，三年前结婚，夫妻俩觉得避孕套麻烦，避孕药伤身，认为安全期最安全，不料屡次意外怀孕，又不想过早要孩子，平均一年做了4次人流手术。每次医生都劝其注意身体，不能这样不避孕。

LeiMin(alias)Live in the wuchang big east,This year 27 years old,Three years ago,A couple feel condom trouble,Contraceptive hurt a body,Think safety period the most safety,But often accidental pregnancy,And don't want to have a child early,Average a year 4 times the stream of people surgery.Every time the doctors advised its attention to the body,Can't not contraception.

　　今年5月底，雷敏做第10次手术时，医生发现其子宫已薄如纸，稍不注意就会“捅破”，但雷敏认为，能怀孕证明自己生育能力强，反正现在技术好，不会出问题。而且自己是易孕体质，不愁将来要不了孩子。

At the end of may this year,LeiMin 10th do the operation,Doctors found the uterus already thin as paper,A little note will be"crush",But LeiMin think,Can pregnant prove his birth ability,Anyway, now good technology,Not a problem.And he is easy to child constitution,Don't worry about the future children before.

　　9月初，再次怀孕的雷敏腹痛难忍，不料子宫穿孔大出血，被送至省妇幼保健院抢救，因时间延误，医生只能为她切除子宫。

In early September,Pregnant again LeiMin abdominal pain difficult to endure,Behold uterine hemorrhage,Was sent to the provincial maternal and children health care centers of rescue,Because of the time delay,The doctor can only for her hysterectomy.

　　省妇幼保健院妇科主任王燕介绍，任何人流手术包括超导可视无痛人流，都要将孕囊吸出来，不可避免地将子宫内膜吸出来，这样才能保证清宫干净，因此一定会对子宫内膜造成损伤，使其逐渐变薄，不适合受精卵着床，继而造成不孕。更有甚者，子宫会被切除。

Provincial mother and child care courtyard gynecology department introduced at all,Any the stream of people surgery including superconducting visual painless abortions,All will suck out at capsule,Inevitably will suck out the uterus,So that we can guarantee the qing dynasty palace clean,So would be certain to endometrial cause damage,Make it gradually become thinner,Not suitable for fertilized egg implantation,Then cause infertility.What is more,Uterine will be resection.

　　

[调查] [investigation]

　　

每年人流近千万例 Every year nearly cases of people

　　湖北省妇幼保健院在2009年做过一项调查，5年接诊流产女性近7万，未婚占40.7%。另据相关调查，我国20~29岁的女性约1亿，其中27.3%做过人流。

Hubei maternal and child care service centre in 2009 to do a survey,5 years accepts abortion women nearly 70000,Unmarried accounted for 40.7%.According to another survey related,Our country 20 to 29 year old female about 100 million,27.3% of abortion.

　　昨天，省妇幼保健院妇科熊俊主任指出，近几年流产人群呈现以下特点：1.数量日趋增多。2.年龄呈低龄化趋势，最小仅15岁，20岁以下的流产女性比例在增加，未婚占四成。3.多次人工流产率在升高，人均人工流产次数增加。

yesterday,Provincial mother and child care courtyard gynecology XiongJun director pointed out,In recent years abortion crowd present the following features:1. The number is increasing.2. Attained the age trend,Minimum of 15,20 years old of the following abortion proportion of women on the increase,Unmarried accounted for forty percent.3. Many artificial abortion rate on the rise,Per capita abortion times increase.

　　而全国的一项调查显示，我国流产者呈现四大特质。一是人流数量大。我国平均每年人流将近千万例，平均每年流产率29.3‰；

And the national a survey,Our country abortion is present four traits.One is the large number of people.Average annual flow in China almost never an example,Average annual abortion rate 29.3 ‰;

　　二是人流年轻化。20~29岁：北京、上海分别占66%、62%；未婚、未育妇女逐年增加；

The second is young people.20 to 29 years old:Beijing/Shanghai accounted for 66%/62%;unmarried/Not brood women has increased year by year;

　　三是人流重复率高。北京、上海各占55.2%、44.1%；

The third is people high repetition rate.Beijing/Shanghai each accounted for 55.2%/44.1%;

　　四是人流高危化。做流产三次以上、流产半年内再次怀孕、剖宫产不足一年、哺乳期怀孕等，都为流产高危化的表现。

The fourth is poured high-risk change.Do abortion three times or more/Abortion half years pregnant again/Cesarean section less than a year/Lactation pregnancy,Is abortion high-risk change performance.

　　王燕介绍，中国女性普遍缺乏避孕的相关知识，大部分人存侥幸心理未采取避孕措施。即使避孕，也以使用安全套、体外排精、计算安全期等方法，口服避孕药的很少。同时，我国尚未全面开展流产后计划生育服务，很多女性在首次流产后，得不到及时有效的计划生育服务与引导，依然存在意外妊娠风险。

Wang introduced,Chinese women generally lack of contraceptive knowledge,Most people take any chances did not take contraceptive measures.Even if contraception,Also to use condoms/In vitro row of fine/Calculation methods of safety period,Oral contraceptive less.At the same time,Our country has not yet fully carry out aborting family planning services,Many women in the first after the abortion,Not timely and effective family planning service and guidance,Still exists the risk of accidental pregnancy.

　　

[提醒] [remind]

　　

避孕产品，20~40岁是主力军 Contraceptive products,20 to 40 years old is the main force

　　武昌区所辖14个街道办事处，常住居民110万(含流动人口)。经初步调查统计，经营面积在50以上的中、西药店有214家，20以下的生殖健康用品和避孕药具商店280家，其他经营点(含超市、副食店等)746家。

Wuchang district had jurisdiction over 14 street offices,Permanent residents in 1.1 million(Including floating population).After the preliminary survey statistics,Business area is in more than 50 in/West drugstore have 214,20 the following reproductive health supplies and contraceptives store 280,Other corporate(Including supermarket/FuShiDian, etc)746.

　　调查发现，长途汽车站附近的销售点，主要销售对象为来往的流动人员。高校附近的销售点避孕套销售较多，购买对象主要是年轻人。

Survey found,Long-distance bus station near the point of sale,The main sales targets for the flow of migrants.University nearby pos condom sales more,Buy object is mainly young people.

　　通过计生、药监、街道工作人员联合组织问卷调查，发现目前生殖健康用品和避孕药具市场从管理到流通、销售环节还存在一定问题。中、西药店由药品监督部门监管，专门生殖健康用品和避孕药具商店由工商部门监管，相关商品生产环节由质量监督部门监管，而计生部门，没有权力也没有能力监管。

Through the family/also/Street workers union questionnaire survey,Found at present reproductive health supplies and contraceptives market from management to circulation/Sales link also there are some problems.in/West pharmacy by the drug supervision departments supervision,Special reproductive health supplies and contraceptives store by the ministry of commerce and supervision,Relevant commodity production link by the quality supervision departments supervision,Family planning branch and,No power nor the ability control.

　　

[案例] [example]

　　省妇幼的生殖中心设在门诊五楼，而计划生育手术室则设在住院部一楼，同一家医院，几年前在一楼手术的女性，现在去五楼的屡见不鲜。

Provincial maternal and child reproductive center is located at the outpatient service the fifth floor,And family planning operating room is on the first floor in inpatient department,The same hospital,A few years ago in the first floor operation of women,Now go to the fifth floor of the common occurance.

　　该院妇科计划生育手术室护士长周璇表示，希望进行过一次手术的女性，不要再出现，于是在手术室外墙上开辟出一块“健康教育专栏”，张贴人流的危害及如何保护自己等健康知识，希望经过这里的女性朋友都能得到警示。可实际情况并不乐观，还是会碰到熟悉的面孔。

The hospital gynecologic family planning the operating room cephalitis following the matron said,Hope had an operation of women,Don't appear,So in operation outside the wall hew out a piece of"Health education column",Post the harm of people and how to protect themselves and health knowledge,Hope that through the female friend can be warning.But the actual situation is not optimistic,Or will be confronted with a familiar face.

　　而该院门诊五楼生殖保健中心护士长吴曼玲则表示，她满眼看到的都是悲伤，来生殖中心做检查治疗的都是因各种原因无法受孕的女性，她们当中有不少是认为自己体质好，做几次人流算不了什么，结果流产次数多了就影响到现在的生育，现在不得不来生殖中心治疗。

The hospital outpatient service and the fifth floor reproductive health care center WuManLing head nurse, said,She eyeful see is sad,To reproductive center inspection treatment is because of all sorts of reasons cannot conceive of women,They a lot of which is that their good constitution,Do a few times people nothing,Results the number of abortion will affect the baby now,Now have to to reproductive center treatment.

　　“让意外在美梦中滑落”、“即做即走，不用住院”……无痛人流广告的大量宣传，误导一些女孩把人流看成感冒一样不当回事。

"Let the accident in the dream of the slide"/"Is done namely go,Don't hospital"...Painless abortions advertising a lot of publicity,Some girls mislead the people as cold as take it lightly.

　　王燕指出，人工流产对女性的伤害很大，容易引发输卵管堵塞，影响子宫内膜功能等，它只会让女性离成为母亲的目标越来越远。

Wang pointed out that,Artificial abortion for women in the great damage,Easy to cause oviduct jams,Function of endometrium,It will only make women become mother from the target to be getting more and more far.

　　事实上，未育女性最理想的避孕方式应该首选口服避孕药，但是却被众多女性误解。王燕说，众多女性对含激素类药品怀有误解的态度，以及担心长期服用会造成不孕等多种因素。而大量临床研究显示，复方口服避孕药并不会增加乳腺癌等妇科癌症的患病风险，反而还会降低卵巢癌、子宫内膜癌的患病几率。另外，复方口服避孕药也不会影响使用者日后受孕与生育，停止服用之后第二个月就可以恢复受孕。

In fact,Education is not the most ideal female contraceptive mode should be first choice for oral contraceptive,But by many women misunderstand.Wang said,Many women to contain hormone drugs have the attitude of misunderstanding,And fear take for a long time can cause infertility and so on the many kinds of factors.And a large number of clinical trials showed,Compound oral contraceptive doesn't increase gynecological cancer such as breast cancer risk,It will also reduce ovarian cancer/Endometrial cancer risk.In addition,Compound oral contraceptive also won't affect future users conception and birth,Stop taking after the second month can restore conception.

　　

-小资料 - small material

　　安全期怎么算？或许你还停留在“前七后八”、“前三后四”的算法？

Safe period how to calculate?Maybe you still stay in"After the first seven of eight"/"After the first three four"algorithm?

　　最新调研显示：中国58%有性经验的女性曾采用过“安全期”避孕法；76.1%有性经验的女性对于安全期计算错误或持有不正确的安全期观点。

The latest research shows that:China's 58% sexual experience of women had been used"Safety period"contraception;76.1% of the female sexual experience for safe period calculation errors or hold not correct safety period view.

　　事实上，女性体内的激素波动会受到诸多因素的影响，卵巢并不会都在周期中的固定某一天排卵。另一方面，精子的活力也不容小觑，进入体内的精子能存活3~5天。总而言之，简单的推算，根本无法准确判断出安全期。

In fact,Female body hormone fluctuations will be affected by many factors,Ovarian will not in the period of the fixed one day ovulation.On the other hand,Sperm vitality also not allow small gaze,The body sperm can survive 3 ~ 5 days.overall,Simple prediction,Can't accurately judge the safety period.

　　紧急避孕药不属于常规避孕方法，而是一种“亡羊补牢”式的事后补救措施，并且它的有效率只有85%。调查显示，中国68.4%的女性过高地估计了紧急避孕药的有效率，45.4%的女性在过去1年曾经用过。

Emergency contraception do not belong to the conventional contraceptive method,But a"Better late than never"Type of remedial measures,And it only 85% efficient.Investigation shows that,China 68.4% of women had overplayed of emergency contraception efficient,45.4% of women in the past one year ever used.

　　为什么补救措施有时会“失灵”呢？因为在卵子尚未排出之前，紧急避孕药起到抑制或延迟排卵的作用，而在排卵后使用，对子宫内膜的影响不明显，没有阻止孕卵着床的作用。而且，常用紧急避孕药的成分是大剂量的单一孕激素，频繁使用会影响内分泌。(记者黎清 邹婵娟 通讯员温红蕾 王琛)

Why remedial measures sometimes"failure"??Because in eggs have not yet before discharge,Emergency contraception have inhibition or delay the role of ovulation,And in use after ovulation,On the lining of the uterus effect is not obvious,No stop nidation role.and,Commonly used the composition of emergency contraception is large doses of single progestational hormone,Frequent use will affect the endocrine.(Reporter LiQing ZouChanJuan correspondent WenGongLei WangChen)