Brokaw A K, Baker N N, Haney S L
NOVA Women's Medical Center, Fairfax, Va.
Nurse Pract. 1988 Jul;13(7):49-50, 52, 55.
The cervical cap is now available for general use by American women. Several steps are necessary to select women who are good candidates for cap usage and to successfully fit the cap. Many women are not good candidates for the cap. The cap is generally not suitable for women who have recently become sexually active or who are first-time contraceptors. Many users are women who cannot use more widely available contraceptives. Successful cap use requires a highly motivated, persistent woman who will correctly insert and remove her cap. The size, shape, length, position and location of the cervix must be assessed by the clinician prior to fitting the cap. The cervix should be visually inspected for lesions or cervicitis and a Pap smear should be taken. After an initial cap is selected, the stability of the cap, gaps between the cap and cervix, areas of uncovered cervix and the adequacy of the suction seal should be assessed. The woman should be taught how to insert and remove the cap. Additionally, she should be instructed to use a backup method of contraception until she is sure that the cap will remain in place during sexual intercourse. Successful cap fitting requires a careful, methodical approach by the clinician and a carefully selected, highly motivated client. This article presents the steps of cervical cap fitting.
子宫帽现已可供美国女性普遍使用。要挑选出适合使用子宫帽的女性并成功佩戴子宫帽，需要几个步骤。许多女性并不适合使用子宫帽。子宫帽通常不适合近期开始有性行为的女性或初次使用避孕方法的女性。许多使用者是那些无法使用更广泛可得的避孕方法的女性。成功使用子宫帽需要一位积极性高、有毅力的女性，她要能正确插入和取出子宫帽。在佩戴子宫帽之前，临床医生必须评估子宫颈的大小、形状、长度、位置和状况。应通过视觉检查子宫颈是否有病变或宫颈炎，并进行巴氏涂片检查。在选择了初始的子宫帽后，应评估子宫帽的稳定性、子宫帽与子宫颈之间的间隙、未覆盖的子宫颈区域以及吸力密封的充分性。应教会女性如何插入和取出子宫帽。此外，应指导她使用备用避孕方法，直到她确定子宫帽在性交过程中会保持在位。成功佩戴子宫帽需要临床医生采取仔细、有条不紊的方法，以及精心挑选、积极性高的客户。本文介绍了子宫帽佩戴的步骤。
