产后子宫内避孕装置的接受性,安全性和有效性
Neelam Nalini1, Bijeta Singh2, Saumaya Jha1
1Departments of Obstetrics and Gynaecology, RIMS, Ranchi, Jharkhand, India.
Journal of family medicine and primary care
|July 14, 2023
概括
产后子宫内避孕装置 (PPIUCD) 是安全的,100%有效的,但由于担心并发症,接受度很低. 解决这些问题可以提高PPIUCD的普及率.
科学领域:
- 产科和妇科 产科和妇科
- 计划生育 计划生育方式
- 公共卫生 公共卫生
背景情况:
- 产后子宫内避孕装置 (PPIUCD) 是一种安全的避孕方法,接受度低.
- 影响PPIUCD接受的因素需要调查,以提高吸收率.
- 这项研究评估了PPIUCD在印度哈邦的接受度,效率和并发症.
研究的目的:
- 评估产前妇女对PPIUCD的接受率.
- 确定PPIUCD接受和拒绝的原因.
- 评估与PPIUCD插入相关的安全性,效率和并发症.
主要方法:
- 从2020年1月到9月对产前妇女 (>34周怀孕) 的前性研究.
- 收集了关于人口统计,认识和接受/拒绝PPIUCD的原因的数据.
- 在6周和10周后进行随访,以评估并发症;在1年后对疗效进行随访.
主要成果:
- 总体而言,PPIUCD的接受率为36.23%.
- 拒绝的主要原因包括害怕疼痛/并发症 (59.09%) 和COVID-19问题 (10.23%).
- 14%的女性出现并发症;在1年内观察到100%的避孕疗效.
结论:
- PPIUCD是一种安全且高效的长效可逆避孕方法.
- 接受度低与有限的意识和对并发症的恐惧有关,而不是人口因素.
- 需要采取解决患者担忧的策略,以增加PPIUCD的利用率.
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