Lete I, Morales P, de Pablo J L
Department of Obstetrics and Gynecology, Hospital Txagorritxu, Vitoria, Spain.
Eur J Contracept Reprod Health Care. 1998 Dec;3(4):190-3. doi: 10.3109/13625189809167252.
To evaluate the use of intrauterine contraceptive devices (IUDs) in nulliparous women compared to their use in parous women.
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.
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%.
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.
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。
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。
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%。
我们的数据表明，未生育并非使用IUD的禁忌证，未生育女性使用IUD与已生育女性一样安全有效。
