国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (5): 398-400.

• 综述 • 上一篇    下一篇

剖宫产术中放置吉娜宫内节育器的临床应用

任卫娟，王奕芳，陈灿明，刘丽利，顾小燕   

  1. 225002 江苏省扬州市妇幼保健院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-09-15 发布日期:2015-09-15
  • 通讯作者: 王奕芳

The Clinical Application of GyneFix IUD during Cesarean Section

REN Wei-juan，WANG Yi-fang，CHEN Can-ming，LIU Li-li，GU Xiao-yan   

  1. Department of Obstetrics and Gynecology，Yangzhou Maternal and Child Care Service Center，Yangzhou 225002，Jiangsu Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-09-15 Online:2015-09-15
  • Contact: WANG Yi-fang

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摘要： 剖宫产术后避孕是一难题，剖宫产后再次妊娠，无论是终止还是继续，都要承担高并发症的风险。减少剖宫产后意外妊娠的发生已成为临床医生关注的重点。依据国际国内产后及流产后避孕指南，结合吉娜宫内节育器（IUD）具有独特的设计，重点阐述剖宫产术中放置吉娜固定式宫内节育器（GyneFix PP IUD）的可行性和安全性，同时描述了患者的选择、放置方法、注意事项及本技术的应用前景。剖宫产术中即时放置吉娜IUD安全性高，避孕效果可靠，具有脱落率低，不良反应少等优点，为临床医生和剖宫产妇女选择适宜的避孕措施提供指导。

关键词: 剖宫产术, 宫内避孕器, 宫内避孕器, 铜, 吉娜（固定式宫内节育器PP型）

Abstract: It is a problem to contraception after cesarean section. The second pregnancy after cesarean section, either terminate or continue to, have to bear the high risk of complications. To reduce the occurrence of unexpected pregnancy cesarean section postpartum has become the focus of attention of the clinicians. This paper is mainly to expound the availability and safety on placing IUD（ＧｙｎｅＦｉｘ ＰＰ ＩＵＤ） in cesarean section. We describe the patient selection, placement methods, points for attention and the application future. Immediately placed IUD during cesarean section has reliable contraceptive effect, with low loss rate, less side reaction. We hope to provide guidance for clinicians and cesarean section women.

Key words: Cesarean section, Intrauterine devices, Intrauterine devices, copper, GyneFix PP IUD