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Table 1 Characterization of 98 patients with uterine perforation and without uterine perforation in Chinese women of IUD insertion

From: Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs)

Characteristic

Uterine perforation (n = 29)

Non-uterine perforation (n = 69)

Age (years)

 Median (range)

35 (22–60)

38 (20–71)

Symptoms

 Asymptomatic

10 (34.5)

32 (46.4)

 Pain (pelvic and/or abdominal)

10 (34.5)

15 (21.7)

 Menstrual disorders

3 (10.3)

12 (17.4)

 Unintended pregnancy

5 (17.2)

4 (5.8)

 Missing strings

4 (13.8)

4 (5.8)

 Vaginal bleeding

0 (0)

3 (4.3)

History of previously pregnancy outcome

 Cesarean section

7 (24.1)

27 (39.1)

 Vaginal birth

22 (75.9)

42 (60.9)

Diagnosis of IUD migration

 B-scan ultrasonography (B-scan) only

13 (44.8)

52 (75.4)

 X-radiation (X-rays) only

3 (10.3)

1 (1.4)

 B-scan + X-rays

6 (20.7)*

3 (4.3)

 Others

7 (24.1)

13 (18.8)

IUD insertion after last delivery (months)

 Median (range)

16 (3–60)

24 (3–120)

 ≤ 6

15 (51.7)*

17 (24.6)

 > 6 to ≤ 12

4 (13.8)

15 (21.7)

 ≥ 12

8 (27.6)

20 (29.0)

 Not postpartum

2 (6.9)

17 (24.6)

Time from insertion to diagnosis (months)

 Median (range)

114 (1–408)

93 (1–480)

 ≤ 12

8 (27.6)

13 (18.8)

 > 12 to ≤ 60

6 (20.7)

27 (39.1)

 > 60 to ≤ 120

6 (20.6)

15 (21.7)

 ≥ 120

9 (31.0)

14 (20.3)

Institution for operation of IUD inserting

 Rural hospital or lower level

26 (89.7)*

48 (69.6)

 Urban hospital

3 (10.3)

21 (30.4)

Type of IUD

 T-shaped copper, made in China

10 (34.5)

20 (29.0)

 V-shaped copper, made in China

13 (44.8)

31 (44.9)

 O-shaped, made in China

4 (13.8)

10 (14.5)

 GyneFix, made in Belgium

1 (3.4)

3 (4.3)

 Others

1 (3.4)

5 (7.2)

  1. Non-uterine perforation was subjected to IUD malposition without uterine perforation. The data are presented as n (%) unless stated otherwise
  2. *p < 0.05, analyzed by Fisher’s exact test