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| An observation of the clinical effect of intrauterine device inserted immediately after manual vaccum aspiration |
| Xiangshan County Family Planning Guidance Station, Zhejiang Province, 315700 |
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Abstract Objective: To observe the clinical effect of intrauterine device (IUD) inserted immediately after artificial abortion by manual negative pressure aspiration. Methods: 460 women with unwanted pregnancy who voluntarily asked for contraception after abortion were included as research subject form May 2013 to May 2016. All the included women were divided into study group and control group (230 cases in each group) randomly based on table of random numbers. Women in study group were inserted IUD immediately after artificial abortion by manual negative pressure aspiration, while women in control group were inserted IUD immediately after artificial abortion by electric negative pressure aspiration. The situation of all women during abortion were evaluated. The rates of adverse reaction, unexpected pregnancy, and IUD removed due to symptoms of women were recorded in 2 years after IUD used. Results: The intraoperative bleeding volume, intraoperative VAS score, operative time, and postoperative stay hospital time of women in study group were significant less than those of women in control group (P<0.05). The incidences of menstrual disorders, abnormal menstrual flow, intrauterine adhesions, and effective rate of contraceptive of women in study group (3.9%, 2.6%, 0.9%, and, 100.0%) had no significant different from those (5.2%, 4.4%, 2.8%, and 99.6%) of women in control group (P>0.05). The incidences of vaginal irregular bleeding, low back and abdominal pain, acute pelvic inflammatory disease, IUD removal rate, and IUD removed due to symptoms of women in study group (3.0%, 2.8%, 0.4%,0.9%, and 3.0%) were significant lower than those (7.4%, 6.1% 3.0%, 3.1%, and 7.8%) of women in control group (P<0.05). Conclusion: Compared to those of IUD inserted immediately after electric negative pressure aspiration, IUD inserted immediately after manual negative pressure aspiration is more convenient, has less iatrogenic trauma, fewer adverse reaction, and less removal rate due to symptoms.
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