The event rates up to 1 year after insertion of a Copper-T IUD were compared in 76 women who had 1 or more cesarean sections, and were given their IUD immediately after medical termination of pregnancy, and in 76 women matched for age and parity but normal vaginal deliveries. The cesarean group had abortion performed under general anesthesia; the vaginal group had iv diazepam and paracervical block. All subjects were less than 11 weeks gestation. They were followed up at 7 days, 6 weeks, and 3 monthly intervals for 1 year. No perforations or pregnancies occurred. Incomplete abortion caused expulsion in 2.6% of women in both groups, and removal in 6.5 and 5.3%, in the cesarean and control groups respectively, and was responsible for most discontinuations. It was concluded that IUD insertion is safe after medical termination of pregnancy in women with a history of cesarean section, depending on the skill of the surgeon.

译文

:比较了76例剖宫产为1例或以上并在妊娠医学终止后立即给予宫内节育器的女性以及76例年龄和均等的女性,比较了插入Copper-T宫内节育器后一年的事件发生率但正常的阴道分娩。剖宫产组在全身麻醉下进行了流产。阴道组有静脉地西epa和宫颈旁阻滞。所有受试者的妊娠均少于11周。他们以7天,6周和3个月的间隔进行随访,为期1年。没有发生穿孔或怀孕。不完全流产导致剖宫产组和对照组分别有2.6%的女性被驱逐,剖宫产和对照组的女性分别被驱逐出6.5%和5.3%,这是大多数中断治疗的原因。结论是,对有剖宫产史的妇女,在医学上终止妊娠后,宫内节育器的插入是安全的,这取决于外科医生的技能。

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