Sheung Wan

essential information

Anesthesia mode

Local anesthesia.

Preoperative preparation

1. Understand the medical history in detail.

2. It is forbidden to have sex 3 days before Sheung Wan and keep the vagina clean.

3. Conduct a comprehensive examination before the operation, and those with gynecological inflammation need to be cured before the operation.

Indications

1. All women of childbearing age who have no contraindications and require intrauterine device (IUD) can be placed.

2. For emergency contraception, it is more suitable for those who are willing to continue to use IUD as contraception without contraindications.

Contraindications

1. Pregnancy or suspicious pregnancy.

2. Pregnancy tissue residue or infection after induced abortion, delivery or cesarean section.

3. Acute inflammation of genital tract.

4. Genital tumor and uterine malformation.

5. Loose cervix, severe old cervical laceration or uterine prolapse.

6. Serious systemic diseases.

7. IUD containing copper should not be used in the history of copper allergy.

Timing of operation

1. It can be placed in 3-7 days after menstruation without sexual intercourse. This period belongs to the safe period, the possibility of pregnancy is small, can avoid pregnancy ring, and cause uterine bleeding or abortion.

2. According to the specific situation, we can choose to release the ring in the following periods.

(1) It should be placed before menstruation. Menstruation 3 ~ 5 days placed, this period of time has three advantages: first, the uterus mouth loose, easy to put. Second, menstruation just came, you can exclude pregnancy, will not put the ring into the pregnant uterus by mistake. The third is to avoid the worry and inconvenience caused by a small amount of bleeding after the release of the ring. For example, the progesterone containing Mirena ring.

(2) After menstruation clean place. 3 to 7 days after menstruation, it is appropriate to release the IUD without sexual life history, because at this time, the endometrium is just beginning to grow, the endometrium is thin, and bleeding can be avoided when placing. At the same time, there is no sexual life after menstruation, and the possibility that the fertilized egg has grown on the endometrium when releasing the IUD is also avoided. Generally, most women choose to release the ring at this time.

(3) The ring was released immediately after delivery. At this time, the operation is simple and feasible, and contraceptive measures can be implemented in time, but it can only be placed after the examination and approval of the obstetrician.

(4) They were placed 42 days after delivery. That is, 42 days after delivery to do health examination at the same time, the advantages of placing at this time are: first, the uterine orifice is loose. Second, the uterus has returned to normal size and has not shrunk due to long feeding. Third, timely implementation of contraceptive measures, convenient for women, can avoid the occurrence of "dark pregnancy".

(5) Postpartum more than three months can also be released. But it should be noted that if this time is the lactation period, although there is no menstruation, there is still the possibility of pregnancy, which is commonly known as the "dark fetus". Therefore, women who have not yet menstruated after childbirth should first ask the doctor for examination, and only when they are diagnosed as not pregnant can they release the ring.

(6) The ring was released immediately after abortion or curettage. The utility model has the advantages that contraceptive measures are implemented at the same time in one operation, which reduces the pain and is convenient for women.

(7) After the curettage of spontaneous abortion or induced abortion, release the ring after the recovery of normal menstruation.

(8) Cesarean section at the same time or operation for half a year, the situation is normal, can also consider ring.

(9) If the previous ring is old and needs to be replaced, it can be replaced with a new ring at the same time. You can also put in a new ring after your next menstruation. But we must remember to pay attention to contraception one month after removal.

(10) Placed within 5 days after unprotected sex, it can be used for emergency contraception.

Operation procedure

1. Double diagnosis to understand the size, location and accessories of uterus.

2. Routine disinfection of vulva and vagina, disinfection again after exposing the cervix by the speculum, clamping the front lip of cervix with cervical forceps, and detecting the depth of uterine cavity with uterine probe along the uterus.

3. Put the IUD into the uterine cavity with a placer.

4. Take out the cervical forceps and vaginal speculum when there is no bleeding.

complication

After the ring will have irregular vaginal bleeding, waist acid, abdominal drop, etc. It can be complicated with infection, IUD incarceration, ectopic, shedding, pregnancy with IUD, etc.

matters needing attention

1. In the process of IUD placement, avoid the IUD and other instruments entering the uterine cavity from contacting with the vaginal wall.

2. If the IUD is not placed at the bottom of the uterus, it should be removed and replayed.

3. In the process of IUD placement, in case of excessive bleeding, empty feeling of instruments, abnormal depth of uterine cavity, sudden lower abdominal pain, etc., the operation should be stopped immediately, the causes should be further examined, and corresponding measures should be taken.

4. The IUD should be removed within one year after menopause.

Postoperative nursing

1. Rest for 3 days after operation, avoid heavy physical labor within 1 week, avoid sexual life and bath within 2 weeks, keep vulva clean.

2. Within three months after placing the IUD, attention should be paid to whether the IUD is prolapsed during the menstrual period and after defecation; vaginal tampons are not used during the menstrual period for those with tail wire IUD.

3. Master the type, service life and follow-up time of IUD placement, recheck 3-5 days after the first menstruation after IUD placement, and then recheck regularly. After 3 months, 6 months and 1 year, the patients should be reexamined once a year. The reexamination should be arranged after menstruation.

4. It is normal that there may be a small amount of vaginal bleeding and lower abdominal discomfort after placement, such as excessive bleeding, abdominal pain, fever, abnormal leucorrhea, etc.

Address: North of central and Western District of Hong Kong Island, starting from Aberdeen street and wing Kee street in the East, wilyma street in the West and Queen's road in the south.

Longitude: 114.157727

Latitude: 22.283652

Ticket information: no ticket required.

Chinese PinYin : Shang Huan