未生育女性使用宫内节育器：12年个人经验

Use of intrauterine contraceptive devices in nulliparous women: personal experience over a 12-year period.

作者信息

Lete I, Morales P, de Pablo J L

机构信息

Department of Obstetrics and Gynecology, Hospital Txagorritxu, Vitoria, Spain.

出版信息

Eur J Contracept Reprod Health Care. 1998 Dec;3(4):190-3. doi: 10.3109/13625189809167252.

DOI:10.3109/13625189809167252

PMID:10036601

Abstract

OBJECTIVE

To evaluate the use of intrauterine contraceptive devices (IUDs) in nulliparous women compared to their use in parous women.

METHODS

A comparative cross-sectional study was carried out to determine the reasons for removal of IUDs inserted between 1985 and 1996 in a sample of 227 nulliparous women and 2080 parous women. The statistical analysis was performed using the chi 2 test; the differences were considered to be significant when p < 0.05.

RESULTS

The reasons for removal of IUDs in the two groups were: expiry, 49.1% in the nulliparous group vs. 48.2% in the parous group; planned pregnancy, 21.7% vs. 15.4%; accidental pregnancy, 4.8% vs. 6.3%; expulsion, 1.6% vs. 5.1%; pelvic inflammatory disease, 1.6% vs. 1.1%; pain and/or bleeding, 14.5% vs. 10.2%; other, 6.4% vs. 6.3%; vasectomy or tubal sterilization, 0% vs. 7%.

CONCLUSION

Our data suggest that nulliparity is not a contraindication for the use of an IUD, and that the use of an IUD in nulliparous women is as safe and effective as in parous women.

摘要

目的

评估未生育女性使用宫内节育器（IUD）的情况，并与已生育女性使用IUD的情况进行比较。

方法

开展一项比较性横断面研究，以确定1985年至1996年间在227名未生育女性和2080名已生育女性样本中取出IUD的原因。采用卡方检验进行统计分析；当p<0.05时，差异被认为具有统计学意义。

结果

两组取出IUD的原因如下：到期，未生育组为49.1%，已生育组为48.2%；计划妊娠，分别为21.7%和15.4%；意外妊娠，分别为4.8%和6.3%；脱落，分别为1.6%和5.1%；盆腔炎，分别为1.6%和1.1%；疼痛和/或出血，分别为14.5%和10.2%；其他，分别为6.4%和6.3%；输精管结扎术或输卵管绝育术，分别为0%和7%。