Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Obstet Gynecol. 2012 Feb;206(2):127.e1-7. doi: 10.1016/j.ajog.2011.08.004. Epub 2011 Aug 11.
The purpose of this study was to estimate US rates of postpartum intrauterine device (IUD) insertion and postpartum tubal sterilization.
Data from the 2001-2008 Nationwide Inpatient Sample were used to identify delivery hospitalizations with IUD insertion or tubal sterilization procedure codes.
Estimated rates of postpartum IUD insertion and postpartum tubal sterilization were 0.27 and 770.67 per 10,000 deliveries, respectively. Although the rate of IUD insertion was similar across age groups, the rate of tubal sterilization increased with age. Nonetheless, 15% of tubal sterilizations occurred among women who were ≤ 24 years old. IUD insertion was more likely among women who delivered at teaching hospitals (odds ratio, 3.02; 95% confidence interval, 1.43-6.37); tubal sterilization was more likely among women without private insurance (odds ratio, 2.04; 95% confidence interval, 1.97-2.11).
Among US postpartum women, IUD insertion occurs considerably less frequently than tubal sterilization, even among younger women for whom poststerilization regret is a concern.
本研究旨在估计美国产后宫内节育器（IUD）放置和产后输卵管绝育的比率。
本研究使用 2001-2008 年全国住院患者样本数据，确定有 IUD 放置或输卵管绝育手术编码的分娩住院患者。
产后 IUD 放置和产后输卵管绝育的估计比率分别为每 10000 次分娩 0.27 次和 770.67 次。尽管 IUD 放置率在各年龄段相似，但输卵管绝育率随年龄增长而增加。尽管如此，仍有 15%的输卵管绝育发生在≤24 岁的女性中。在教学医院分娩的女性更有可能放置 IUD（优势比，3.02；95%置信区间，1.43-6.37）；没有私人保险的女性更有可能进行输卵管绝育（优势比，2.04；95%置信区间，1.97-2.11）。
在美国产后妇女中，IUD 放置的频率明显低于输卵管绝育，即使在因绝育后后悔而令人担忧的年轻女性中也是如此。
