Shoufang Bian

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Jilan Jiang

Shanghai Jiao Tong University

Yuna Guo

International Peace Maternity & Child Health Hospital

Yanqin Cai

Sun Yat-sen University

Suren R. Sooranna

Chelsea and Westminster Hospital

Renyi Hua

Shanghai Jiao Tong University

Jue Ma

Guangdong Provincial People's Hospital

Xianjing Xie

International Peace Maternity & Child Health Hospital

Sen Li

Shanghai Children's Hospital

Weiwei Cheng

Shanghai Children's Hospital

Shuying Wang

Soochow University

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International Peace Maternity & Child Health Hospital

Shanghai Jiao Tong University

Shanghai Municipal People's Government

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Southern Medical University

Shanghai Children's Hospital

Shandong First Medical University

Guang’anmen Hospital

China Academy of Chinese Medical Sciences

Shanghai Changning Maternity and Infant Health Hospital

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Intrauterine Bakri Balloon and Vaginal Tamponade Combined with Abdominal Compression for the Management of Postpartum Hemorrhage

Journal of Obstetrics and Gynaecology Canada (2017)

Yuna Guo Renyi Hua Shoufang Bian Xianjing Xie Jue Ma

Balloon tamponade

10.1016/j.jogc.2017.08.035

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Risk factors for intrauterine device embedment in postmenopausal women: an analysis of 731 participants undergoing hysteroscopy

Menopause The Journal of The North American Menopause Society (2023)

Jilan Jiang Shoufang Bian Sen Li Shuying Wang

This study aimed to explore the risk factors for intrauterine device (IUD) embedment in postmenopausal women.A total of 731 women who underwent hysteroscopy for IUD removal from January 2019 to December 2021 were included in the trial, of whom 301 were diagnosed with IUD embedment (embedded group) and 430 had a normal IUD location (control group). The following data were collected from electronic medical records: demographic traits, ultrasound findings, IUD shapes, uterine features, and hysteroscopy findings. Bivariate contingency analysis and multiple logistic regression were performed to identify the significant independent variables that affect IUD embedment.Prior IUD removal failure (14.3% vs 5.1%; adjusted odds ratio [aOR], 3.29; 95% CI, 1.90-5.71) and V-shaped IUD (18.9% vs 10.7%; aOR, 2.05; 95% CI, 1.33-3.16) were risk factors that were independently linked with IUD embedment. Uterine volume (22.7 [20.9-24.5] cm 3 vs 27.9 [24.8-30.9] cm 3 ; aOR, 0.99; 95% CI, 0.982-0.999) was negatively linked with IUD embedment. There were no differences in age, parity, menopause length, years with an IUD in situ, uterine position, or abortion times between the two groups. There were no differences in existing leiomyoma, prior cervical LEEP (loop electrosurgical excision procedure), or myomectomy between the two groups.Prior IUD removal failure, V-shaped IUD, and a smaller uterine volume were risk factors for IUD embedment in menopausal women.

Intrauterine device

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10.1097/gme.0000000000002191

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