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| Clinical control observation of the immediate intrauterine device inserted and the combination oral contraception used after abortion in nulliparous women aged 25 years old or younger |
| 1.Tianjin Third Central Hospital, Tianjin, 300170；2.National Research Institute for Family Planning；3.Huai'an Maternal and Child Health Care Hospital of Jiangsu Province；4.People’s Hospital of Rizhao of Shandong Province；5.Wuhan City Maternal and Child Health Hospital of Hubei Province |
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Abstract To observe the feasibility and usage of the immediate intrauterine device (IUD) inserted and the combination oral contraception (COC) used after abortion in nulliparous women aged 25 years old or younger. Methods: The nulliparous women aged 25 years or younger who voluntarily requested an abortion were enrolled in this study. According to their preference, these women were assigned to the IUD group (148 cases) and the COC group (204 cases).The women in both groups were followed up for 6 months to observe the usage of IUD or COC. Results: There were no pregnancies reported in either group. In the IUD group, 1(0.7%) case discontinued IUD due to complete expulsion of IUD. The cumulative discontinuation rates of the women in the COC group in 3 months and in 6 months after abortion were 69.1% and 92.1%. The main reasons of the discontinuation of COC used of the women were inconvenience and inability to adhere to the medication regimen, which accounting for approximately 31.4%. The rates of the discomfort reported of the women in the IUD group in 1 and 3 months after abortion were significantly higher than those of the women in the COC group (P<0.01, P<0.001). Conclusion: Immediate insertion of the IUD or the COC used after abortion of the nulliparous women aged 25 years old or younger is feasible and effective. The continuation rate of the women with IUD inserted in 6 months after abortion in higher, but the COC used of the women has mild side effects. So, the counseling for the women should be enhanced to improve their continuation rate of IUD or COC.
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