Zekai Tahir Burak Women's Health Training and Education Hospital, 06230, Ankara, Turkey.
Contraception. 2011 Sep;84(3):240-3. doi: 10.1016/j.contraception.2011.01.006. Epub 2011 Feb 21.
An intrauterine device (IUD) is an effective reversible form of contraception. We determined the efficacy and safety of immediate postplacental IUD insertion during cesarean section.
Two hundred forty-five women with term pregnancies delivering by cesarean section between September 2006 and December 2007 were included in the study. A copper IUD (TCu 380A) was inserted using a ring forceps within 10 min of removing the placenta. The participants were examined before hospital discharge and at 6 weeks, 6 months and 12 months postpartum.
None of the patients were lost to follow-up. There was one case of an unplanned pregnancy (0.4%). There were no serious complications associated with immediate IUD insertion during cesarean section. The cumulative rates of expulsion, removal for bleeding/pain and other medical reasons were 17.6, 8.2 and 2.4 per 100 women per year, respectively. The continuation rates were 81.6% and 62% at 6 and 12 months, respectively.
Immediate postplacental IUD insertion during cesarean section provides adequate protection against pregnancy. However, greater than one fourth of the participants discontinued IUD use due to spontaneous expulsion or other medical reasons.
宫内节育器（IUD）是一种有效的可逆避孕方法。我们旨在确定剖宫产术中即刻胎盘娩出后放置 IUD 的效果和安全性。
2006 年 9 月至 2007 年 12 月期间，共有 245 名足月妊娠行剖宫产的妇女参与了该研究。采用环型钳在胎盘娩出后 10 分钟内放置铜 IUD（TCu380A）。参与者在出院前、产后 6 周、6 个月和 12 个月时进行检查。
无失访病例。有 1 例（0.4%）计划外妊娠。剖宫产术中即刻放置 IUD 无严重并发症。每年每 100 名妇女中，IUD 脱落、因出血/疼痛和其他医疗原因取出的累积发生率分别为 17.6%、8.2%和 2.4%。6 个月和 12 个月时的续用率分别为 81.6%和 62%。
剖宫产术中即刻胎盘娩出后放置 IUD 能充分避孕。然而，超过四分之一的参与者因自然脱落或其他医疗原因而停止使用 IUD。
