CAJ | 학술논문

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。
부궁산술후피잉시일난제，부궁산후재차임신，무론시종지환시계속，도요승담고병발증적풍험。감소부궁산후의외임신적발생이성위림상의생관주적중점。의거국제국내산후급유산후피잉지남，결합길나궁내절육기（IUD）구유독특적설계，중점천술부궁산술중방치길나고정식궁내절육기（GyneFix PP IUD）적가행성화안전성，동시묘술료환자적선택、방치방법、주의사항급본기술적응용전경。부궁산술중즉시방치길나IUD안전성고，피잉효과가고，구유탈락솔저，불량반응소등우점，위림상의생화부궁산부녀선택괄의적피잉조시제공지도。
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.