剖宫产术中放置吉娜宫内节育器的临床应用

摘要

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.%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。