认证助产士和妇产科执业护师施行宫内节育器放置术的效果。
Outcomes of Intrauterine Device Insertion by Certified Midwives and Obstetric Nurse Practitioners.
机构信息
Universidade de São Paulo. São Paulo, São Paulo. Brazil.
出版信息
Rev Bras Enferm. 2023 Nov 27;76(5):e20220286. doi: 10.1590/0034-7167-2022-0286. eCollection 2023.
OBJECTIVES
to evaluate the outcomes of Interval Copper Intrauterine Device (IUD) insertion performed by certified midwives and obstetric nurse practitioners at a Peri-Hospital Birth Center.
METHODS
a cross-sectional study was conducted involving 75 women who underwent IUD insertion between January 2018 and February 2020. Data collection was carried out using medical records and telephone interviews.
RESULTS
no instances of uterine perforation were observed. Expulsion rates of the devices were 1.3% within 30 to 45 days of use and 5.3% within the first year of use. The follow-up removal rate was 4.0%. The average pain score reported was 4.2 (SD = 3.3). Among those who continued using the device, 93.1% expressed satisfaction.
CONCLUSIONS
the findings demonstrate that IUD insertion by certified midwives and obstetric nurse practitioners is a safe procedure, yielding outcomes comparable to those reported in the existing literature.
目的
评估认证助产士和产科执业护士在围产期分娩中心进行间隔铜宫内节育器（IUD）放置的效果。
方法
进行了一项横断面研究，共纳入 75 名于 2018 年 1 月至 2020 年 2 月期间接受 IUD 放置的妇女。使用病历和电话访谈进行数据收集。
结果
未观察到子宫穿孔的情况。IUD 在使用后 30-45 天内的脱落率为 1.3%，在使用第一年的脱落率为 5.3%。随访取出率为 4.0%。报告的平均疼痛评分为 4.2（SD=3.3）。在继续使用该设备的患者中，93.1%表示满意。
结论
研究结果表明，认证助产士和产科执业护士进行 IUD 放置是一种安全的操作，其效果与现有文献报告的效果相当。
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