Analysis on the use of IUD and the influencing factors of adverse reactions in some areas of Jiangsu Province
ZHANG Min1，2 LIN Jie1，2 YANG Yuehua1，2 ZHOU Jian1，2▲ SUN Zhiming1，2 XU Haoqin1，2
1.Jiangsu Institute of Family Planning Science and Technology, Jiangsu Province, Nanjing 210036, China;
2.HFPC Center for Contraceptives Adverse Reactor Surveillance, Jiangsu Province, Nanjing 210036, China
Abstract：Objective To investigate the status of side effect in women using intrauterine devices (IUD) after health and family planning combined in Jiangsu. Methods From January to December 2016, a county-level maternal and child health and family planning service center in Northern, Central and Southern Jiangsu was selected as the research unit. 269 women of childbearing age who were required to place IUD and voluntarily participated in the study were taken as the research objects. The adverse reactions of one year were followed up and observed, including 88 cases in Northern Jiangsu, 90 cases in Central Jiangsu and 91 cases in Southern Jiangsu. Results There were significant differences in occupation and education level among the subjects in different regions (P < 0.05). There were a lot of objects for the first time in Northern Jiangsu, and the difference was statistically significant (P < 0.05). There were a lot of high-risk devices in the middle of Jiangsu Province, the difference was statistically significant (P < 0.05). The high risk group was significantly higher than the first group (P < 0.05). Multivariate analysis showed that the incidence of adverse reactions of IUD users in southern Jiangsu was 5.41 times higher than that in Northern Jiangsu (OR = 5.41, 95%CI：2.27-12.93). Conclusion After the integration of health and family planning resources, the situation in different regions is different. Some regions should pay attention to the medical follow-up of high-risk objects, timely find and deal with adverse reactions, improve the satisfaction of women of childbearing age with contraceptive device service, provide high-quality reproductive health services for the masses, and improve the reproductive health level of people of childbearing age.
张敏1，2 林洁1，2 杨月华1，2 周健1，2▲ 孙志明1，2 许豪勤1，2. 江苏省部分地区宫内节育器使用情况及不良反应影响因素分析[J]. 中国医药导报, 2019, 16(30): 58-61.
ZHANG Min1，2 LIN Jie1，2 YANG Yuehua1，2 ZHOU Jian1，2▲ SUN Zhiming1，2 XU Haoqin1，2. Analysis on the use of IUD and the influencing factors of adverse reactions in some areas of Jiangsu Province. 中国医药导报, 2019, 16(30): 58-61.
2019, Vol. 16 
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