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| An observation on the contraceptive effect and adverse reactions of subcutaneous implantation and intrauterine device used immediately after abortion |
| Maternal and Child Health Care Hospital of Huzhou City, Zhejiang Province, 313000 |
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Abstract To observe the effect of timely subcutaneous implant and intrauterine device (IUD) used immediately after induced abortion. Methods: 320 women with artificial abortion and contraceptive demand were selected as research subjects form February 2014 to February 2016, and divided into group A(160 women had received subcutaneous implantation immediately after induced abortion) and group B (160 women had received IUD containing copper inserted immediately after induced abortion). The rates of pregnancy, termination due to disease, and adverse reactions were compared between the two groups in 2 years followed up. Results: The termination rate due to pregnancy, removal, or disease of women (1.9%) in group A was significant lower than that of women(9.5%) in group B (P=0.006), and the continuation rate of women (95.1%) in group A was significant higher than that of women (86.9%) in group B(P=0.008). The incidence of irregular vaginal bleeding and intrauterine adhesion of women (5.0% and 2.5%) in group A had no statistically significant different to those of women(6.3% and 2.4) in group B (P=0.679，0.410). The rate of menorrhagia and amenorrhea of women (6.3%)in group A was significant higher than that of women (1.2%)in group B（P=0.019）, while the incidences of menstrual disorder, menstrual increase or lumbar abdominal pain of women(6.9%, 1.2% or 1.9%) in group A were significant lower than those of women(14.4%, 5.6%, or 8.1%) in group B (P=0.029, 0.032, 0.010). Conclusion: Subcutaneous implantation and IUD used immediately after abortion have both good contraceptive effect and higher continually used rate. The adverse reaction of subcutaneous implantation is lower, so it is worthy of clinical application.
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