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Using laparoscope to remove an ectopic intrauterine device in the anterior wall of urinary bladder:A case report

World Journal of Clinical Cases 2024年第17期12卷 3221-3225页

作者： Shi-Xue Liu Xing-You Dong Department of Urology Shapingba Hospital Affiliated to Chongqing UniversityChongqing 400030China

BACKGROUND An intrauterine device(IUD)is a contraceptive device placed in the uterine cavity and is a common contraceptive method for Chinese ***,an IUD may cause complications due to placement time,intrauterine pressure and other *** IUDs are among the most serious *** IUDs are common in the myometrium and periuterine organs,and there are few reports of ectopic IUDs in the urinary bladder,especially in the anterior *** SUMMARY A 52-year-old woman was hospitalized due to a urinary bladder foreign body found via abdominal ultrasound and computed tomography(CT)*** patient had a 2-year history of recurrent abdominal distension and lower abdominal pain,accompanied by frequent urination,urgency,dysuria and other *** examination revealed foreign bodies in the bladder cavity,with calculus on the surface of the foreign *** revealed a circular foreign body on the anterior wall of the urinary bladder,suggesting the possibility of an ectopic *** laparoscopic exploration,an annular IUD was found in the anterior wall of urinary bladder,and an oval calculus with a diameter of approximately 2 cm was attached to the surface of the bladder *** IUD and calculus were successfully and completely *** patient recovered well after *** Abdominal ultrasound and CT are effective methods for detecting ectopic *** IUD is located in the urinary bladder and requires early surgical *** choice of surgical method is determined by comprehensively considering the depth of the IUD in the bladder muscle layer,the situation of complicated calculus,the situation of intravesical inflammation and medical technology and equipment.

关键词： intrauterine device Ectopic Anterior wall of the urinary bladder Calculus Laparoscope Case report

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Uterine Artery Rupture After Induced Abortion and Extraction of an intrauterine device

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Chinese Medical Journal 2016年第4期129卷 484-486页

作者： Xiao-Ming Yu Jing Guan Ting-Ting Sun Department of Reproduction Medicine Peking University People's Hospital Beijing 100044 China Department of Gynecology Peking University Shougang Hospital Beijing 100041 China

An intrauterine device （IUD） is a safe, effective, simple, and reversible method tbr birth control, but some women with IUD may still become pregnant. Induced abortion is the main method for termination of pregnancy. If induced abortion is not well-managed in these patients, it may result in serious vaginal bleeding and uterine rupture. We report a case of uterine artery rupture after induced abortion combined with extraction of an IUD. This case highlights the necessity of a standard operation for complicated induced abortion, and the value of interventional therapy, such as uterine artery embolization （UAE）, for controlling serious vaginal bleedit3g.

关键词： Induced Abortion intrauterine device Rupture Uterine Arterial Embolization: Uterine Artery

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Biosocial Profiles and Pattern of Complaints of New intrauterine device Acceptors at the University College Hospital,Ibadan,Nigeria

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Journal of Reproduction and Contraception 2009年第2期20卷 93-100页

作者： Michael Abiola Okunlola Imran Oludare Morhason-Bello Adebola ARoberts Angellina A Tokzaka Adeyemi O Adekunle Department of Obstetrics and Gynaecology University College Hospital/College of Medicine University of Ibadan Fertility Research Unit University College Hospital

Objective To determine the pattern of biosocial characteristics of the new IUD acceptors and describe their concerns. Methods This was a retrospective review of records of new IUD acceptors at the University College Hospital, Ibadan, Nigeria from January to December 2007. Results The age range of subjects was 19 to 49 years with a mean of 33.5 ±% 2.4 years. The commonest source （46.0%） of clientele referral was through the health care providers -doctors and nurse/midwife. Other referral patterns were from friends/ relative （23.5%）, media -TV and radio （17.0%）, outreach programmes （7.3%）, self referral （5.2%） and others -the source was not indicated （1.2%）. Of the total participants, only 239 （56.1%） reported for follow-up visits. Majority had at least one visit; about a third had two, while others had three or four and above visits. About 43.2% of those at follow-up visits had complaints. The commonest （37.5%） complaint was menstrual irregularity. Other complaints were cramping abdominal pain （22.2%）, vaginal discharge （19.6%）, amenorrhoea （10.3%）, penile discomfort during sexual intercourse （4.3%）, expulsion of IUD （3.8%） and 2.2% of missing IUD. Conclusion This audit shows that new IUD acceptors are largely referred by health care providers and are mainly offered the TCu380A version. Community outreach programmes as alternative strategy is likely to boost the uptake of this particular method in Nigeria.

关键词： intrauterine device new acceptors contraception Nigeria

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Effect of Domestically-made Levonorgestrel-releasing intrauterine device on the Endocrine System and Mensentruation in Monkeys

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Journal of Huazhong University of Science and Technology(Medical Sciences) 1996年第2期16卷 117-120页

作者：吴昌杰夏文家吴熙瑞李儒镠黄秀兰严以齐黄达平 Institute of Family Planning Tongji Medical University Wuhan Center of Experimental Animals Fujian Medical College Fuzhou

Effect of domestically-made levonorgestrel-releasing intrauterine device (LNG, release rate: 6 μg/day) on the endocrine system and menstruation in mondeys was investigated. The results showed that the Estradiol (E2) and progesterone (P) levels were significantly decreased 2 ovulatory cycles after iusertion of the devices as compared with those before insertion in 3 monkeys (P>0. 001) ,suggesting an evident ovulation-suppressing effect. In 1 monkey, the E2 and P levels were the same before and after insertion,and expulsion of device was found in the monkey later. The plasma LNG concentration in 3 animals was 493. 69-454. 60 pg/ml and plasma LNG was not detected in 1 monkey. The hormone level returned to normal level after removal of the devices.

关键词： levonorgestrel intrauterine device endocrine system

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Opinions and Perceptions of Gynecologists and Midwives on the Use of the intrauterine device in Senegal

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Open Journal of Obstetrics and Gynecology 2021年第11期11卷 1484-1493页

作者： Hadja Maimouna Barro Daff Khalifa Babacar Mansour Fall Youssoupha Touré Aïssatou Mbodji Moussa Diallo Abdoul Aziz Diouf Magatte Mbaye Khalifa Babacar Gueye Babacar Biaye Alassane Diouf Public Institution Aristide-Le Dantec Health Center Gynecological and Obstetric Clinic Cheikh Anta Diop University of Dakar Dakar Senegal Department of Obstetrics and Gynecology Phillipe Maguilene Senghor Center Yoff Senegal Department of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Senegal

Objective: The purpose of this study was to analyze the opinions of gynecologists, midwives, and interns/Specialist students practicing in Senegal about the use of IUD, and to assess factors that stand as obstacles to IUD prescribing. Patients and methods: An online questionnaire was developed to assess providers’ IUD practices and attitudes. The questionnaire was based on the one used in a Swiss study on the same topic. The platform used was Google forms. The questionnaire was shared in associative platforms involving gynecologists, midwives and interns/Specialist students. Results and comments: We received 292 feedbacks. Gynecologists represented 13.7% of the sample, interns and specialist students 11.3% and midwives 76%. Parity is a determining factor in IUD selection. The care-providers were concerned about the followings, which might have prevented the use of IUD, even though it was indicated: infections (75.7%), pelvic pain (61.3%), expulsion (48.3%), increased risk of perforation (46.9%), women’s appreciation (45.2%), ectopic pregnancy (33.9%) and sexual behavior (28.4%). Conclusion: Our study reveals that providers’ apprehensions and concerns severely limit the availability of IUDs. These concerns are often unf

关键词： intrauterine device IUD Parity Gynecologists Midwives Interns

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Postpartum intrauterine device contraception: A review

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World Journal of Obstetrics and Gynecology 2016年第1期5卷 134-139页

作者： Shadi Rezai Pameela Bisram Hasan Nezam Ray Mercado Cassandra E Henderson Department of Obstetrics and Gynecology Lincoln Medical and Mental Health Center St.George’s University School of Medicine Department of Obstetrics and Gynecology University of Toledo Medical Center

AIM： To review the safety （infection, perforation） and efficacy （expulsion, continuation rates, pregnancy） of intrauterine device （IUD） insertion in the postpartum period. METHODS： MEDLINE, PubMed and Google Scholar were searched for randomized controlled trials and prospective cohort studies of IUD insertions at different times during the postpartum period. Time of insertion during the postpartum period was documented speci-fically, immediate post placenta period （within 10 min）, early post placenta period （10 min to 72 h）, and de-layed/interval period （greater than 6 wk）. Other study variables included mode of delivery, vaginal vs cesarean, manual vs use of ring forceps to insert the IUD. RESULTS： IUD insertion in the immediate postpartum （within 10 min of placental delivery）, early postpartum （10 min up to 72 h） and Interval/Delayed （6 wk onward） were found to be safe and effcacious. Expulsion rates were found to be highest in the immediate postpartum groups ranging from 14% to 27%. Immediate post placental insertion found to have expulsion rates that ranged from 3.6% to 16.2%. Expulsion rate was significantly higher after insertion following vaginal vs cesarean delivery. The rates of infection, perforation and unplanned pregnancy following postpartum IUD insertion are low. Method of insertion such as with ring forceps, by hand, or another placement method unique to the type of IUD did not show any signifcant difference in expulsion rates. Uterine perforations are highest in the delayed/interval IUD insertion *** duration and infant development are not affected by delayed/interval insertion of the non-hormonal （copper） IUD or the Levonorgestrel IUD. Timing of the Levonorgestrel IUD insertion may affect breastfeeding. CONCLUSION： IUD insertion is safe and efficacious during the immediate postpartum, early postpartum and delayed postpartum periods. Expulsion rates are highest after vaginal delivery and when inserted during the immediate post

关键词： Access to intrauterine devices Contra-ception Expulsion intrauterine device Long acting reversible contraception Postpartum contraception Postpartum intrauterine device Postpartum intrauterine device placement Post-placental insertion

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Com parison betw een Two Techniques Used in Im m ediatePostplacentalInsertion of TCu 380Aintrauterine device:36-Month follow-up

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Journal of Reproduction and Contraception 1999年第3期10卷 156-162页

作者：徐晋勋杨秀兰顾兴林徐素英周晓波陈月贞肖志琴庄留琪 ShanghaiMunicipalFamilyPlanningCommission Shanghai200002China ShanghaiInstituteofFamilyPlanningTechnicalInstruction Shanghai200030China JiadingFamilyPlanningCommission JiadingDistrictShanghai201800China BaoshanFamilyPlanningCommission BaoshanDistrictShanghai200940China NationalLaboratoryofContraceptivesanddeviceResearch Shanghai200032China

Three hundred and eighty four women in Shanghai who delivered vaginally and chose IUD for contraception received the copper T 380A IUD inserted vaginally within 10 min after delivery of the placenta(i.e.,immediate postplacental insertion, IPPI). Among them, 98.70% were primipara. The women were randomly divided into two groups: IUD inserted by hand and IUD insreted by ring forceps. Using Life Table Method and χ 2 test, expulsion and other discontinuation rates were compared at 6, 12, 24, and 36 months post insertion between these two different groups. No uterine perforation, infection or prolonged period of lochia occurred in the 384 cases. Expulsions were the main reason for discontinuation. From 6 months to 36 months, the gross cumulative rates of all discontinuation events (expulsion, pregnancy, removal for bleeding/pain, etc.) were not statistically significantly different (P>0.05). The results suggest that these two different insertion techniques do not significantly affect discontinuation rate in vaginal IPPI using the TCu 380 A, which appears to be suitable for postpartum insertion in Chinese women. Other relevant issues, such as breast feeding and IUD position in uterine cavity, are also analyzed and discussed in this paper.

关键词： intrauterine device Copper T 380A IUD (TCu 380A IUD) Immediate postplacental insertion (IPPI) Vaginal delivery Follow up studies

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Effects of Copper-Containing intrauterine devices on the Endometrium

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Reproductive and Developmental Medicine 2021年第1期5卷 38-43页

作者： Jia-Hui Che Xiao-Ying Yao Obstetrics and Gynecology Hospital of Fudan University Shanghai 200011China

The use of copper-containing intrauterine devices(Cu-IUDs)is a safe,effective,and long-term contraceptive ***,we review the effects of Cu-IUDs on subsequent pregnancy and the morphology,local coagulation function,sensitivity to estrogen and progesterone,cell proliferation,and immune response of the *** on the morphology of endometrium indicate that the use of Cu-IUDs can affect the number and binding capacity of estrogen and progesterone receptors in the endometrium and reduce the response of the endometrium to estrogen and *** use of Cu-IUDs can also affect the proliferation of endometrial cells,suggesting that the aseptic inflammation caused by Cu-IUDs may differ from chronic infectious or noninfectious inflammation;this highlights that the use of Cu-IUDs provides protection against endometrial proliferative *** use of Cu-IUDs increases local endometrial angiogenesis,bleeding tendency,and fibrinolytic activity,which can result in prolonged menstruation or abnormal uterine ***,the use of Cu-IUDs can cause the infiltration of numerous lymphocytes,monocytes,macrophages,and other inflammatory cells around the endometrial gland and changes in endometrial immune function,immune cell function,and the number and type of immune ***-IUD-induced decidual injury significantly increases the invasiveness of trophoblasts,further affecting the aberrant expression of their growth-,angiogenesis-,and invasion-related factors and improving the formation of the ***,the endometrial damage caused by Cu-IUD placement before embryo transfer can improve both clinical pregnancy and live birth rates;however,specific changes in the immune system after Cu-IUD use as well as its effects on future pregnancies require further investigation.

关键词： Contraception Copper Endometrium intrauterine Contraception intrauterine device

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Urgent need to change clinical practices about postpartum contraception

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World Journal of Obstetrics and Gynecology 2015年第3期4卷 52-57页

作者： Crystal Goldsmith Anita L Nelson Department of Obstetrics and Gynecology University of Southern California Department of Obstetrics and Gynecology David Geffen School of Medicine at Harbor-UCLA

In the United States, maternal mortality and unintended pregnancy rates are increasing. There are growing disparities in maternal health between indigent, minority women and Caucasian women of higher socioeconomic status. Family planning has long been viewed as a solution to these problems. As reliance on permanent contraception has diminished, timely access to highly effective contraceptive methods, namely long acting reversible contraceptives, which includes the contraceptive hormonal implant and intrauterine device- has become even more important. For women in the United States and abroad, the time of delivery is the one reliable opportunity for women to receive medical care. Consistently, research has shown that providing contraception in the immediate postpartum period is safe, effective, feasible and cost effective. However, misperceptions, lack of supplies, and reimbursement issues combine to defeat attempts to provide the most effective methods of contraception during that hospitalization. We believe that it is time to tackle the problem of unintended and rapid repeat pregnancy using an evidence-based, patient-centered paradigm and to eradicate systemic barriers blocking access to contraceptive methods during hospital stay. This editorial will outline some of the more compelling evidence supporting this move and will provide insights from successful programs.

关键词： Postpartum contraception Long actingreversible contraception Subdermal contraceptiveimplant intrauterine device Unintended pregnancy

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A Comparative Study on the Contraception Efficacy and Safety of the Progesterone Releasing Contraceptive Vaginal Ring and the Copper T 380A IUD Inserted during the Lactation Period

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Journal of Reproduction and Contraception 1996年第1期7卷 40-47页

作者：杜明昆郑怀美郑苏华陈帼君

A comparative study was made on the contraception efficacy and safety of the vaginal ring releasing 10mg/day Of progesterone in 160 cases and an intrauterine device,the cOPPer T 380A in 100 cases during *** was found that the contraceptive method is acceptable from 42 to 60 days *** pregnancy occurred in the copper T 380A IUD users during *** methods are worth to be recommended because of their contraceptive efficacy and no adverse effects on breastfeeding *** care and Family Planning Programe are administered together to raise lactation performance rate,and to decrease induced abortion rate,the health of mothers and children were protected.

关键词： Vaginal ring intrauterine device Postpartum Lactating Copper T 380A IUD

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