避孕套自拔:在临床和非临床环境中对自拔指南的随机对照试验
Kelsey A Petrie1, Erin E McCoy1, Lyndsey S Benson1
1Division of Complex Family Planning, University of Washington Department of Obstetrics and Gynecology, Seattle, WA, United States.
Contraception
|March 22, 2024
概括
宫内器械 (IUD) 自拔是可行的和可以接受的,成功率高于之前报告的. 非临床设置显著增加了成功的宫内避孕器切除,增强了生殖自主性.
科学领域:
- 生殖健康 生殖健康
- 医疗器械的移除 医疗器械的移除
- 患者的自主权患者的自主权
背景情况:
- 宫内器件 (IUD) 的移除可能会给使用者带来障碍.
- 之前的研究表明,IUD自拔的成功率很低 (19%).
- 患者带领的宫内避孕器切除可能是克服这些障碍的解决方案.
研究的目的:
- 为了评估开发的IUD自拔指南的有效性.
- 评估IUD自拔指南的可接受性.
- 描述宫内避孕套的自我去除过程.
主要方法:
- 一项随机对照试验比较了带有和没有指导的IUD自拔成功率.
- 参与者可以选择在临床或非临床环境中进行自我清除.
- 主要结局是成功的宫内节育器自我移除;共变量包括人口统计学,平价,BMI和设置.
主要成果:
- 总体而言,30%的参与者成功地自拔了他们的宫内节育器,这一比例高于之前报告的水平.
- 该指南并没有显著增加自我清除成功率 (32%对28%),但97%的人认为它有帮助.
- 在非临床环境中自我清除的成功率明显更高 (35%vs9%).
结论:
- 避孕套自拔是可行的,可以接受的,并且比以前记录的更成功.
- 非临床设置与显著更高的IUD自拔成功率有关.
- 与患者讨论IUD自拆除可以增加生殖自主权.
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