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基于住院的胎盘后levonorgestrel子宫内器械插入计划的纵向影响: 1,2,3年驱逐率

Leanne L Free¹, Benjamin P Brown¹, Kristen A Matteson¹

¹Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, Providence, RI, United States.

|January 8, 2024

概括

在学术课程的第一年后,胎盘后的levonorgestrel子宫内置器 (LNG-IUD) 排泄率显著下降. 程序成熟度似乎可以降低LNG-IUD驱逐的风险.

科学领域:

生殖健康生殖健康
避孕药是一种避孕药,用于避孕.
妇女健康妇女健康

背景情况:

在胎盘后插入levonorgestrel宫内避孕装置 (LNG-IUD) 是一种有效的长效可逆避孕方法.
评估插入计划结果对于优化患者护理和设备保留至关重要.

研究的目的:

评估LNG-IUD在学术胎盘后插入计划的前三年内的排斥率.
确定影响LNG-IUD在产后早期驱逐的因素.

主要方法:

从2016年1月到2018年12月,对LNG-IUD插件进行了回顾性案例系列分析.
驱逐率是按产后12周计算的.
在阴道分娩后,插入年间和插入技术 (手工 vs 环) 的排泄率的比较.

主要成果:

总共分析了235个LNG-IUD插件.
驱逐率从第一年的28%下降到第二年的10%和第三年的15% (p=0.03).
在阴道分娩后手动插入与更高的排泄率 (36%) 相比,环-塞插入 (16%,p=0.04) 相关.

结论:

在该计划的第一年后,LNG-IUD驱逐率大幅下降.
课程成熟度和潜在的标准化插入技术可能有助于降低退学风险.
对最佳插入方法的进一步研究是有必要的,以改善LNG-IUD的保留.

关键词:

避孕套的驱逐避孕套的驱逐医学教育医学教育产后避孕方法产后避孕方法胎盘后宫内节育器

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