New Method of IUD Insertion During Cesarean Section | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 111, Volume 95, Issue 1, April 2024, Pages 2033-2039 PDF (677.89 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.357758 | ||
| Abstract | ||
| Background: There is currently no accepted method for inserting an IUD during a Cesarean section. According to previous research, the traditional method of inserting an IUD during Cesarean section involves manually inserting the device into the fundus of the uterus and guiding the IUD strings through the cervix. Objectives: This study aimed to compare between the standard method and a new method for IUD placement during CS. Patients and methods: This prospective randomized controlled trial included 624 female patients coming for either elective or emergency cesarean delivery. They were subjected to intra-caesarian CU T380 IUD insertion. Group A (standard method): consisted of 312 pregnant patients who underwent manual insertion of the CU T380 IUD using the standard technique of intracesarian IUD insertion; Group B (new method): consisted of 312 pregnant women who underwent IUD insertion utilizing the novel approach for placing the IUD (CU T380). Results: Our results showed significant statistical differences between the two groups regarding visibility of the threads, IUD displacement, discontinuation rate & overall patient satisfaction (p-values < 0.001, 0.008, 0.004 & 0.002 respectively). Conclusion: Intra-partum IUD insertion during Cesarean section using the new technique is more effective than using the standard approach in terms of visibility of threads and better accuracy post-Cesarian and at 6 weeks follow up, hence higher patient satisfaction. | ||
| Keywords | ||
| Intrauterine device; Contraception; New method; CS delivery; Expulsion | ||
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