流产后立即放置宫内节育器

Immediate Post-abortal Insertion of the Intrauterine Devices

人工流产时女性对避孕的愿望最强烈,同时放置宫内节育器(IUD)能提高人工流产后有效避孕率,降低重复流产率,节约公共卫生开支。人工流产术后立即放置IUD安全有效,而且并不增加术后疼痛、阴道出血、穿孔和感染等不良反应的发生。人工流产术后立即放置IUD总体的脱落率是低的,放置后的随访非常重要。人工流产术后立即放置IUD是否增加绝经后取器困难尚无定论。放置的IUD主要为活性IUD,包括含铜IUD和含药IUD均可选择。

Women generally have strong desire for contraception when they are suffering from artificial abortion.The immediate insertion of an intrauterine device（IUD） after an artificial abortion can induce higher rate of effective contraception and lower rate of repeated abortion,while the cost of public health was finally saved.The immediate insertion of IUD after an artificial abortion is safe and high-effective without increased risks of adverse outcomes,such as pain,bleeding,perforation and pelvic inflammatory disease（PID）.Although the rate of IUD expulsion of the immediate post-abortal insertion is low,the follow-up examination is still very important.It＇s not clear whether the removal of IUD in those women after menopause is difficult.There are two types of IUD for the immediate post-abortal insertion,the copper IUD and the progesterone-releasing IUD.