دورية أكاديمية
أعرض في EDS

Rates of Intrauterine Device Expulsion Among Adolescents and Young Women.

التفاصيل البيبلوغرافية
العنوان: Rates of Intrauterine Device Expulsion Among Adolescents and Young Women.
المؤلفون: Keenahan L; Baylor College of Medicine, Houston, Texas. Electronic address: laura.keenahan@bcm.edu., Bercaw-Pratt JL; Baylor College of Medicine, Houston, Texas; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas., Adeyemi O; Baylor College of Medicine, Houston, Texas; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas., Hakim J; Baylor College of Medicine, Houston, Texas; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas., Sangi-Haghpeykar H; Baylor College of Medicine, Houston, Texas; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas., Dietrich JE; Baylor College of Medicine, Houston, Texas; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas.
المصدر: Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2021 Jun; Vol. 34 (3), pp. 362-365. Date of Electronic Publication: 2020 Nov 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: United States NLM ID: 9610774 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4332 (Electronic) Linking ISSN: 10833188 NLM ISO Abbreviation: J Pediatr Adolesc Gynecol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: New York : Elsevier Science
Original Publication: Philadelphia, PA : Chapman & Hall, 1996-
مواضيع طبية MeSH: Intrauterine Device Expulsion*, Adolescent ; Anemia/complications ; Body Mass Index ; Female ; Humans ; Incidence ; Menorrhagia/complications ; Retrospective Studies ; Risk Factors ; Young Adult
مستخلص: Study Objective: The objective of our study was to determine the rate of intrauterine device (IUD) expulsion and risk factors for expulsion among adolescents and young adults.
Design: Retrospective chart review.
Setting: IUD insertions were performed at a single children's hospital.
Participants: Eligible adolescent and young adult patients who underwent IUD insertion between August 2009 and March 2019.
Interventions: IUD insertion.
Main Outcome Measures: Primary outcome was the incidence of IUD expulsion in adolescents and young women. Secondary outcomes were risk factors for IUD expulsion including heavy menstrual bleeding, abnormal uterine bleeding (AUB), anemia, or a bleeding disorder diagnosis.
Results: Six hundred forty-two eligible patients underwent IUD insertion. The incidence of first IUD expulsion in this population was 58/642 (9.03%). Among those who chose to have a second IUD placed (n = 29), 8/29 (27.6%) had a second expulsion. Patients who expelled their IUD were more likely to have a history of AUB, heavy menstrual bleeding, anemia, or a bleeding disorder. When controlled for body mass index and age at insertion, history of AUB and anemia remained significant risks for IUD expulsion.
Conclusion: This study similarly showed a higher risk of primary and secondary IUD expulsion in adolescents and young women. A history of AUB, anemia, bleeding disorder, and elevated body mass index are associated with higher risk for IUD expulsion. This population should be counseled that these conditions might place them at higher risk for expulsion.
(Copyright © 2020 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Abnormal uterine bleeding; Adolescent; Heavy menstrual bleeding; Intrauterine device expulsion
تواريخ الأحداث: Date Created: 20201115 Date Completed: 20210611 Latest Revision: 20210611
رمز التحديث: 20221213
DOI: 10.1016/j.jpag.2020.11.003
PMID: 33189897
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-4332
DOI:10.1016/j.jpag.2020.11.003