University of Colorado Anschutz Medical Campus, Department of Obstetrics and Gynecology, Division of Family Planning, Aurora, Colorado.
University of Colorado Anschutz Medical Campus, College of Nursing, Aurora, Colorado.
J Adolesc Health. 2018 Sep;63(3):363-364. doi: 10.1016/j.jadohealth.2018.03.021. Epub 2018 Jul 31.
Case reports of pregnancies with inadvertent etonogestrel contraceptive implant exposure in the first-trimester have not demonstrated teratogenic risks or adverse pregnancy outcomes. We report the clinical observations of a 15-year-old nulligravida who continued her etonogestrel contraceptive implant throughout pregnancy and delivery, without any adverse maternal or neonatal outcomes. The patient then continued her contraceptive implant as a reliable postpartum contraceptive method. Although her favorable outcomes are consistent with available pharmacologic literature, more data is needed regarding maintenance of a contraceptive implant during a desired pregnancy.
有报道称，在妊娠早期无意中接触依托孕烯避孕埋植剂的病例并未显示出致畸风险或不良妊娠结局。我们报告了一例 15 岁的初产妇的临床观察，她在整个孕期和分娩期间一直使用依托孕烯避孕埋植剂，母婴均未出现任何不良结局。此后，患者继续使用避孕埋植剂作为可靠的产后避孕方法。尽管她的良好结局与现有药理学文献一致，但仍需要更多数据来了解在期望妊娠期间如何维持避孕埋植剂。
