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手术流产后长效可逆避孕法具有高续用率及患者满意度。

Long Acting Reversible Contraception After Surgical Abortion With High Rate of Continuation and Patients' Satisfaction.

作者信息

Algeri Paola, Imbruglia Laura, Colonna Laura, Savoldi Vanda, Mastrocola Nunzia, Von Wunster Silvia

机构信息

Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy.

Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST Bergamo Est, Alzano Lombardo, Bergamo, Italy.

出版信息

J Family Reprod Health. 2024 Jun;18(2):90-93. doi: 10.18502/jfrh.v18i2.15931.

DOI:10.18502/jfrh.v18i2.15931
PMID:39011409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246740/
Abstract

OBJECTIVE

In Italy the percentage of repeated abortions is about 24%. Long-acting reversible contraceptive (LARC) methods are currently considered the most effective mode worldwide and are associated with the highest rate of 12-months continuation, with a potential reported reduction of recurrent abortions. The aim of this study was evaluating LARC continuation and the patients' satisfaction at two and twelve months in use.

MATERIALS AND METHODS

A longitudinal observational study collected women who underwent surgical abortion and placed a LARC method at the time of abortion in our hospital.

RESULTS

Totally 828 women underwent surgical abortion during the study period from which 434 choose a LARC method. After two months the rate of continuation of 52mg LNG IUD was 100% in women presenting for follow-up. Continuation rate at one year was approximately 70% for all LARC methods. More than 70% of women declared themselves satisfied or very satisfied with all LARC methods.

CONCLUSION

Despite a high rate of patient loss at follow-up, LARC methods showed a high rate of continuation at two and twelve months, with a high degree of patients' satisfaction.

摘要

目的

在意大利,重复堕胎的比例约为24%。长效可逆避孕(LARC)方法目前被认为是全球最有效的避孕方式,且与12个月的续用率最高相关,据报道其可降低重复堕胎的发生率。本研究的目的是评估LARC方法在使用2个月和12个月时的续用情况以及患者满意度。

材料与方法

一项纵向观察性研究收集了在我院接受手术流产并在流产时放置LARC方法的女性。

结果

在研究期间,共有828名女性接受了手术流产,其中434名选择了LARC方法。在前来随访的女性中,52mg左炔诺孕酮宫内节育器(LNG IUD)在2个月后的续用率为100%。所有LARC方法在1年时的续用率约为70%。超过70%的女性表示对所有LARC方法满意或非常满意。

结论

尽管随访时患者流失率较高,但LARC方法在2个月和12个月时显示出较高的续用率,且患者满意度较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/891d/11246740/40dc57af0a70/JFRH-18-90-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/891d/11246740/40dc57af0a70/JFRH-18-90-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/891d/11246740/40dc57af0a70/JFRH-18-90-g001.jpg

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本文引用的文献

1
The contraceptive choice at the time of a surgical and pharmacological abortion: a possible and effective option thanks to a dedicate counselling.在手术和药物流产时的避孕选择:通过专门的咨询,可以成为一种可能且有效的选择。
Eur J Contracept Reprod Health Care. 2023 Oct;28(5):263-267. doi: 10.1080/13625187.2023.2245095. Epub 2023 Aug 17.
2
Postabortion Initiation of Long-Acting Reversible Contraception by Adolescent and Nulliparous Women in New Zealand.新西兰青少年及未育女性流产后长效可逆避孕法的启动情况
J Adolesc Health. 2016 Feb;58(2):160-6. doi: 10.1016/j.jadohealth.2015.09.025. Epub 2015 Nov 18.
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The contraceptive CHOICE project round up: what we did and what we learned.
避孕选择项目综述:我们所做的及所学到的。
Clin Obstet Gynecol. 2014 Dec;57(4):635-43. doi: 10.1097/GRF.0000000000000070.
4
Effect of contraception provided at termination of pregnancy and incidence of subsequent termination of pregnancy.终止妊娠时提供避孕措施对后续终止妊娠发生率的影响。
BJOG. 2012 Aug;119(9):1074-80. doi: 10.1111/j.1471-0528.2012.03407.x. Epub 2012 Jun 18.
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Impact of long-acting reversible contraception on return for repeat abortion.长效可逆避孕措施对重复人工流产后返诊的影响。
Am J Obstet Gynecol. 2012 Jan;206(1):37.e1-6. doi: 10.1016/j.ajog.2011.06.102. Epub 2011 Jul 13.
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Contraceptive failure in the United States.美国的避孕失败情况。
Contraception. 2011 May;83(5):397-404. doi: 10.1016/j.contraception.2011.01.021. Epub 2011 Mar 12.
7
Immediate postabortal insertion of intrauterine devices.流产后立即放置宫内节育器。
Cochrane Database Syst Rev. 2010 Jun 16(6):CD001777. doi: 10.1002/14651858.CD001777.pub3.
8
The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.避孕选择项目:减少长效可逆避孕措施的障碍。
Am J Obstet Gynecol. 2010 Aug;203(2):115.e1-7. doi: 10.1016/j.ajog.2010.04.017. Epub 2010 Jun 11.