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Abstract To compare the application effect of subdermal implantation contraception and intrauterine device (IUD) TCu220 used after artificial abortion. Methods: 300 women who had undergone artificial abortion and had long-term contraceptive needs were selected as the research subjects from January 2016 to December 2017, and were divided into group A (157 women with subdermal implantation) and group B (143 women with IUD inserted) according to the random number table method. The incidences of adverse events such as pregnancy with subdermal implantation /IUD, expulsion, withdrawal due to disease, pelvic infection, and other adverse events of women during followed up were compared between the two groups. The rates of contraceptive related adverse reactions and continue used of women in both groups were recorded. The quality of life of the women before and after abortion was evaluated by short-form health questionnaire (SF-36). Results: During 24 months of followed up, the rates of removal due to disease, total adverse events, menorrhagia, menostaxis, and total discomfort of women in group A were 1.4%, 1.4%, 2.0%, and 1.4%, respectively, which were significant lower than those (6.3%, 11.9%,7.0%, 13.3%, and 9.1%, respectively) of women in group B, but the rate of oligomenorrhea or amenorrhea of women in group A was 7.5%, which was significant higher than that (1.4%) of women in group B (all P＜0.05). 24 months after abortion, the continuation rate of women in group A was 95.9%, which was significant higher than that (89.5%) of women in group B. 6, 12 and 24 months after abortion, SF-36 scores of women in the two groups had significantly increase, and SF-36 scores of women in group A in 12 and 24 months after abortion were significant higher than those of women in group B (all P＜0.05). Conclusion: Both subdermal implantation and copper-containing IUD used after artificial abortion have good contraceptive effects, which are positive for improving the quality of life of women. The rates of adverse events contraceptive-related side effects, and continue using of subdermal implantation contraception are lower.
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