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Clinical analysis of intrauterine device (Mirena) inserted immediately after artificial abortion and 4 to 7 days of menstrual period |
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Abstract Objective: To explore the clinical effect of levonorgestrel-releasing intrauterine system (LUG-IUS, Mirena) inserted immediately after induced abortion and 4 to 7 days of menstrual period . Methods: One hundred and ninety-four women were chosen in our hospital from March 2011 to November 2013 and were divided into two groups. Women in the observation group (n=90) underwent LUG-IUS insertion immediately after surgical abortion, and those in the control group inserted LUG-IUS on 4 to 7days of menstrual period (n=104). The pregnancy rate, the expulsion rate, side effects and continuation rate were compared between the two groups. Results: Compared with the control group, women in the observation group were slightly higher in the continuation rate, while lower in the expulsion rate (χ2=0.265,0.209,P>0.05). The relative amenorrhea rate in the observation group and the control group were 92.22% and 94.23%, showing no statistical difference (χ2=0.311,P=0.577). Twenty-five women in the control group and 25 in the observation group were found bleeding spotting (χ2=0.235,P=0.627), and there were no statistical differences between two groups in abnormal bleeding and amenorrhea (χ2=0.008,0.379,P>0.05). Conclusion: Immediate insertion of LUS-IUS after abortion is safety and feasibility, which is worthy of clinical application.
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