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产后早期放置宫内节育器(IUD)是一种安全、高效、持久的避孕方法,被广泛应用于拉丁美洲国家,但在非洲此项技术却刚刚发展。作者在肯尼亚和马里进行产后放置铜T380A IUD的研究,比较其脱落率、医源性取器和停用率等方面的问题,进一步验证IUD的安全性。 通过产前计划生育咨询,推荐早期放置IUD(胎盘娩出10min以内)和晚期放置IUD(胎盘娩出10min到72h之间)的避孕方法,选取自愿而无禁忌症的受试者放置IUD并
IUD, a safe, effective and long-lasting contraceptive method, is widely used in Latin American countries but has just been developed in Africa. The authors conducted a post-natal study of copper T380A IUDs in Kenya and Mali to further compare the safety of IUDs with respect to their rate of shedding, iatrogenic retrieval and disabling rates. Through prenatal family planning counseling, we recommend that contraceptive methods for early placement of IUD (within 10 minutes of placenta delivery) and late placement of IUD (10 to 72 hours of placenta delivery)