产后立即放置GyneFix^(TM)PP型宫内节育器对产褥期的影响

The Influence of Immediate Postpartum Insertion of GyneFix TM PP Intrauterine Devices on Puerperal Period

目的探讨产后立即放置ＧｙｎｅＦｉｘＴＭＰＰ型宫内节育器（ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ）对产后出血、血性恶露及产后子宫内膜炎的影响。方法以产后放置ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ者为放器组（１２６例），产后未放置宫内节育器（ＩＵＤ）者为对照组（１１８例），分别记录两组研究对象产时、产后２小时、产后２４小时的出血量、血性恶露持续时间及产后子宫内膜炎的发生率。结果与产后出血及产褥期感染有关的因素两组间差异均无显著性（Ｐ＞０．０５）；两组间的产时或术时出血量、产后２小时出血量及２４小时的出血总量、子宫内膜炎的发生率，差异亦无显著性（Ｐ＞０．０５），两组间的血性恶露持续时间差异有显著性（Ｐ＜０．０５）。结论ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ对产后出血及产褥期感染无明显影响，具有较好的安全性，是产后立即避孕的一种较好方法，对血性恶露持续时间的影响及产生原因有待进一步研究。

Objective To investigate the effects of immediate postpartum insertion of GyneFix TM PP intrauterine devices (IUD) on postpartum hemorrhage, bloody lochia and postpartum endometritis. Methods 126 women had GyneFix TM PP IUD inserted immediately postpartum (IUD group) and another 118 cases with no IUD insertion were served as control. Blood loss during delivery, 2 and 24 hours after delivery were determined, the time of bloody lochial lasted and the incidence of postpartum endometritis were recorded.Results There were no significant differences in the blood loss during and after delivery, and the incidence of endometritis between the 2 groups, but the bloody lochia was lasted significantly longer in the IUD group ( P <0.05).Conclusion This results suggested that the immediate postpartum insertion of the GyneFix TM PP IUD is a safe and good postpartum contraceptive method, and the cause of prolonging bloody lochia awaits for further study.