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| Effect of fixed intrauterine device inserted after induced abortion of women with unintended pregnancy |
| Yangzhou Maternal and Child Health Care Hospital(Affiliated Hospital of Yangzhou University), Yangzhou, Jiangsu Province, 225007 |
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Abstract To evaluate the effect of the fixed intrauterine device(IUD) inserted after induced abortion of women with unwanted pregnancy. Methods: 213 nulliparous women who wanted voluntarily induced abortion from July 2021 to July 2022 were selected and were given post-abortion care(PAC), including 103 cases with IUD inserted for contraception in observation group and 110 cases with other contraceptive methods in control group. Questionnaire survey was conducted to compare the knowledge, attitude and practice(KAP) for the harm of induced abortion of the nulliparous before and after intervention between the two groups. The recovery time of sexual life after abortion of the nulliparous was compared between the two groups. The unwanted pregnancy again and its causes and then induced abortion situation of the nulliparous were followed up for 1 year. Results: The scores of the theory cognition, the attitude and belief, and behavior ability about the induced abortion hazards knowledge of the nulliparous in the two groups after the intervention had increased significantly(P<0.05), but which of the nulliparous had no significantly different between the two groups. After intervention, the recovery time of sexual life(3.7±0.1 months) of the nulliparous in the observation group was significantly shorter than that(3.2±0.9 months) of the nulliparous in the control group, and the incidence of the unintended pregnancy(8 cases, 7.8%) of the nulliparous in the observation group was significantly lower than that(24 cases, 21.8%) of the nulliparous in the control group(P<0.05). There was no significant difference in the incidence of the induced abortion again(0.9% vs.1.9%) of the nulliparous between the two groups. The reasons of unintended pregnancy of the nulliparous in the observation group were IUD expulsion, and which of the nulliparous in the control group were contraceptive failure(11 cases, 45.8%) and no contraception or incorrectly contraception used(13 cases, 54.2%). Conclusion: Fixed IUD is effective in reducing the unwanted pregnancy again of the women after induced abortion, and the IUD expulsion should be focused on.
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