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| Effect of fixed intrauterine device inserted immediately after abortion of young nulliparous women |
| Yangzhou Maternal and Child Care Hospital, Jiangsu Province, 2250022 |
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Abstract To observe the effect of fixed intrauterine device (IUD) inserted immediately after abortion of young nulliparous women. Methods: 207 young nulliparous women who had no planned parenthood within 2 years after abortion because of the unwanted pregnancy during 6-10 gestational weeks were selected in this study from July 2019 to February 2020. These women were given contraceptive methods after abortion based on one-on-one consultation. The women in group A were given fixed IUD and the women in group B were given short-acting oral contraceptives or condoms. The change of postoperative menstruation, the rate of complications, and the clinical efficacy of contraceptive within 12 months after abortion of the women were compared between the two groups. Results: There were no significant differences in the uterine depth, the pain score, and the bleeding after abortion of the women between the two groups. After 12 months of followed up, the continuation rate of contraceptive method (96.0%) of the women in group A was significantly higher than that (62.0%) of the women in group B, and the repregnancy rate (0) of the women in group A was significantly higher than that (9.0%) of the women in group B (P＜0.05). There were no significant differences in the abnormal bleeding rate (6.0% vs.1.0%) and the complication rate (3.0% vs.3.0%) of the women between the two groups (all P＞0.05). Conclusion: Compared with those of oral contraceptive pills or condoms, fixed IUD inserted after abortion for young women nulliparous has less impact on their menstruation, and the occurrences of dysmenorrhea and complications of the women are also less, which is suitable for women without birth plans within two years after abortion.
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