疼痛与产后早期的子宫内装置放置
Holly H Berkley1, Monica A Lutgendorf1, Gennifer Kully1
1Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, San Diego, and the Division of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Diego, La Jolla, California; the Division of Maternal Fetal Medicine, Department of Gynecologic Surgery and Obstetrics, and the Department of Preventative Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland; the Division of Complex Family Planning, Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois; and the Division of Complex Family Planning, Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
产后宫内器械 (IUD) 放置疼痛是相似的,无论是早还是晚. 这一发现有助于临床医生和患者做出关于IUD时间的明智决定.
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.
- 临床试验 临床试验
背景情况:
- 产后子宫内装置 (IUD) 插入是一种常见的避孕方法.
- 输卵管安置的时间 (早期与产后间隔) 可能会影响患者的体验,特别是疼痛.
- 了解与不同IUD安置时间相关的疼痛对于患者咨询至关重要.
研究的目的:
- 为了比较产后早期经历的疼痛与产后间隔子宫内装置 (IUD) 放置.
- 提供数据,以告知临床实践和患者关于IUD插入时间的选择.
主要方法:
- 一项涉及404名参与者的随机试验的二次结果分析.
- 参与者被随机分配到早期 (14-28天) 或间隔 (42-56天) 的产后IUD放置.
- 在双手检查,眼镜放置和宫内节育器插入期间,使用100毫米视觉模拟尺度评估疼痛;用于分析,使用线性混合模型.
主要成果:
- 在两次手术检查 (P=.37) 的早期和间隔IUD放置组之间,没有观察到平均疼痛得分的显著差异,眼镜放置 (P=.66),或IUD放置 (P=.32).
- 每个方案的敏感性分析证实,疼痛评分与初级治疗意图分析没有显著差异.
- 在疼痛分析中,共有325名接受了宫内节育器的参与者.
结论:
- 在产后子宫内装置 (IUD) 放置期间经历的疼痛不会因IUD在产后早期或间隔插入而有显著差异.
- 这些发现可以使临床医生能够更好地支持患者做出关于IUD插入最佳时间的知情决定.
- 进一步的研究可能会探索其他影响患者对产后IUD安置满意度的因素.
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