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腔缘宫颈帽的有效性:一项大型临床研究的结果。

Effectiveness of the cavity-rim cervical cap: results of a large clinical study.

作者信息

Richwald G A, Greenland S, Gerber M M, Potik R, Kersey L, Comas M A

机构信息

Divisions of Population and Family Health, University of California, Los Angeles School of Public Health.

出版信息

Obstet Gynecol. 1989 Aug;74(2):143-8.

PMID:2664609
Abstract

From 1981-1988, 3433 women were fitted with a cavity-rim cervical cap in a Food and Drug Administration-approved study. The estimated first-year pregnancy risk was 11.3% (95% confidence limits 10.0-12.8), with risks of 8.3 and 3.8% for user and method failures, respectively. Women who were younger, less educated, and more sexually active, and who intended to have children in the future, had higher pregnancy risks. "Near-perfect" users, ie, individuals who wore the cap for a maximum of 72 hours, used spermicide 100% of the time, and did not report unprotected sexual intercourse, had half the first-year pregnancy risk of others (6.1 versus 11.9%). There were no serious medical or gynecologic complications associated with cap use, although over 20% of users reported problems with cap dislodgment during or after intercourse, cap malodor, or partner discomfort.

摘要

在1981年至1988年期间,3433名女性在一项经美国食品药品监督管理局批准的研究中佩戴了腔缘宫颈帽。估计第一年的怀孕风险为11.3%(95%置信区间为10.0 - 12.8),使用者失败和方法失败的风险分别为8.3%和3.8%。年龄较小、受教育程度较低、性活动较多且打算未来生育的女性怀孕风险较高。“近乎完美”的使用者,即佩戴宫颈帽最长72小时、100%使用杀精剂且未报告有未采取保护措施性行为的人,其第一年怀孕风险是其他人的一半(6.1%对11.9%)。使用宫颈帽未出现严重的医学或妇科并发症,不过超过20%的使用者报告在性交期间或之后宫颈帽移位、有异味或伴侣不适等问题。

相似文献

1
Effectiveness of the cavity-rim cervical cap: results of a large clinical study.腔缘宫颈帽的有效性:一项大型临床研究的结果。
Obstet Gynecol. 1989 Aug;74(2):143-8.
2
The cervical cap.宫颈帽
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(2):236-45.
3
Progress report on a study of the cervical cap.宫颈帽研究进展报告
J Reprod Med. 1985 Oct;30(10):753-9.
4
The cervical cap: a barrier contraceptive.宫颈帽:一种屏障避孕法。
MCN Am J Matern Child Nurs. 1982 Nov-Dec;7(6):382-6.
5
The cervical cap.宫颈帽
Med Lett Drugs Ther. 1988 Oct 7;30(776):93-4.
6
Contraceptive use, pregnancy and fertility patterns among single American women in their 20s.20多岁美国单身女性的避孕措施使用情况、怀孕及生育模式。
Fam Plann Perspect. 1985 Jan-Feb;17(1):10-9.
7
The cervical cap: effectiveness, safety, and acceptability as a barrier contraceptive.宫颈帽:作为屏障避孕法的有效性、安全性及可接受性。
Mt Sinai J Med. 1986 Apr;53(4):233-8.
8
The cervical cap as a contraceptive alternative.宫颈帽作为一种避孕替代品。
Nurse Pract. 1985 Jan;10(1):37, 41-2, 45.
9
Contraceptive efficacy of the diaphragm, the sponge and the cervical cap.子宫帽、阴道海绵和宫颈帽的避孕效果。
Fam Plann Perspect. 1993 May-Jun;25(3):100-5, 135.
10
Measuring contraceptive use patterns among teenage and adult women.测量青少年和成年女性的避孕使用模式。
Fam Plann Perspect. 1999 Mar-Apr;31(2):73-80.

引用本文的文献

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Understanding contraceptive failure.了解避孕失败的原因。
Best Pract Res Clin Obstet Gynaecol. 2009 Apr;23(2):199-209. doi: 10.1016/j.bpobgyn.2008.11.008. Epub 2009 Feb 14.
2
Commentary: methods women can use that may prevent sexually transmitted disease, including HIV.评论:女性可采用的预防包括艾滋病毒在内的性传播疾病的方法。
Am J Public Health. 1992 Nov;82(11):1473-8. doi: 10.2105/ajph.82.11.1473.