Michie Lucy, Cameron Sharon T, Glasier Anna, Wellings Kaye, Loudon Joanna
Clinical Research Fellow, Department of Reproductive and Developmental Sciences, University of Edinburgh, Edinburgh and Chalmers Sexual and Reproductive Health Centre, Edinburgh, UK.
J Fam Plann Reprod Health Care. 2014 Jan;40(1):36-40. doi: 10.1136/jfprhc-2012-100497. Epub 2013 May 24.
Immediate initiation of an intrauterine device (IUD) or intrauterine system (IUS) following termination of pregnancy (TOP) is associated with a significant reduction in the risk of another TOP. In spite of its high efficacy, uptake of intrauterine contraception in the UK is low. Myths and misconceptions about the method may contribute to the low uptake.
Anonymous, self-administered questionnaire among women requesting a TOP in a hospital abortion service in Scotland, UK.
Misconceptions about intrauterine contraception were extracted from an online social networking and micro-blogging service, and from existing research to develop a questionnaire containing 12 negative statements about intrauterine contraception. Respondents indicated their level of agreement with each statement.
A total of 106/125 (85%) women requesting a TOP completed the questionnaire. The two commonest negative statements that respondents agreed with were that the IUD/IUS 'Is painful to have inserted' (n=36; 34%) and that 'It can move around inside your body' (n=25; 23.6%). The range of women who neither agreed nor disagreed with negative statements was 26.4-56.0%. Twenty-seven (25%) women indicated that the IUD/IUS was their planned method of post-TOP contraception.
Although myths about intrauterine contraception persist among a small proportion of women requesting a TOP, lack of knowledge about the method is also evident. The consultation prior to TOP is an important opportunity to provide accurate and quality information to women about the IUD/IUS that may serve to increase uptake and prevent repeat abortions.
妊娠终止（TOP）后立即放置宫内节育器（IUD）或宫内节育系统（IUS）与再次发生TOP风险的显著降低相关。尽管宫内避孕效果显著，但其在英国的使用率较低。关于该方法的误解和错误观念可能导致其低使用率。
对在英国苏格兰一家医院流产服务机构要求进行TOP的女性进行匿名的自我管理问卷调查。
从在线社交网络和微博服务以及现有研究中提取关于宫内避孕的误解，以编制一份包含12条关于宫内避孕负面陈述的问卷。受访者表明他们对每条陈述的认同程度。
共有106/125（85%）要求进行TOP的女性完成了问卷。受访者认同的两条最常见负面陈述是IUD/IUS“插入时很疼”（n = 36；34%）以及“它会在体内移动”（n = 25；23.6%）。对负面陈述既不认同也不反对的女性比例在26.4% - 56.0%之间。27名（25%）女性表示IUD/IUS是她们计划采用的TOP后避孕方法。
尽管在一小部分要求进行TOP的女性中，关于宫内避孕的误解仍然存在，但对该方法缺乏了解的情况也很明显。TOP前的咨询是向女性提供关于IUD/IUS准确和高质量信息的重要机会，这可能有助于提高使用率并防止重复流产。
