即刻胎盘娩出后行剖宫产术中放置宫内节育器：一项前瞻性队列研究。
Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study.
机构信息
Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, Chapel Hill, NC 27514, USA.
出版信息
Contraception. 2012 Aug;86(2):102-5. doi: 10.1016/j.contraception.2011.11.019. Epub 2012 Jan 20.
BACKGROUND
Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit.
STUDY DESIGN
This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY.
RESULTS
Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being "happy" or "very happy" with their IUD.
CONCLUSIONS
Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.
背景
剖宫产时立即将宫内节育器（IUD）插入子宫内，可以减少获得长期有效避孕的一大障碍。在产后出院前开始使用 IUD 可以避免 6 周的产后等待期和额外的就诊。
研究设计
这是一项对 90 名接受剖宫产的患者进行的前瞻性队列研究。胎盘娩出后，通过切口将铜 T380A IUD 插入子宫内膜腔。研究参与者在产后 6 周和 6 个月时进行随访。本研究在纽约布朗克斯的 Montefiore 医疗中心的 Weiler 分部和 Jacobi 医疗中心进行。
结果
43 名（48%）女性返回进行 6 周随访，其中未记录到任何脱落。在 42 名（47%）接受电话随访的女性中，有 80%表示对她们的 IUD“满意”或“非常满意”。
结论
剖宫产时立即放置胎盘后 IUD 是安全且可接受的。
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