Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T
Abdel Hamid, A., YA, A., AH, A., Foad, D. (2023). Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T. EKB Journal Management System, 27(3), 11-21. doi: 10.21608/egyfs.2023.303253
Ahmed Sherif Abdel Hamid; Aboutalib YA; Alshaimaa AH; Doaa Foad. "Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T". EKB Journal Management System, 27, 3, 2023, 11-21. doi: 10.21608/egyfs.2023.303253
Abdel Hamid, A., YA, A., AH, A., Foad, D. (2023). 'Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T', EKB Journal Management System, 27(3), pp. 11-21. doi: 10.21608/egyfs.2023.303253
Abdel Hamid, A., YA, A., AH, A., Foad, D. Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T. EKB Journal Management System, 2023; 27(3): 11-21. doi: 10.21608/egyfs.2023.303253

Immediate Post-placental Insertion of the Intrauterine Contraceptive Device during Cesarean delivery versus 6 Week Post-Cesarean Insertion: R.C.T

The Egyptian Journal of Fertility of Sterility
Article 3, Volume 27, Issue 3 - Serial Number 11106352, May 2023, Page 11-21  XML PDF (3.92 MB)
Document Type: Original Article
DOI: 10.21608/egyfs.2023.303253
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Authors
Ahmed Sherif Abdel Hamid email orcid 1, 2; Aboutalib YA3; Alshaimaa AH4; Doaa Foad5
1Assistant prof of Obstetrics and Gynecology Faculty of medicine, Ain Shams University, Cairo-Egypt
2Assistant prof of Obstetrics and Gynecology Faculty of medicine, Ain Shams University, Cairo-Egypt Consultant Obstetrics and Gynecology Faculty of medicine, King Saud University, Riyadh, KSA
3Department of obstetrics and gynecology, Ain shams university. Cairo Egypt
4Department of obstetrics and gynecology , Assiut general hospital, Assiut - Egypt
5Department of obstetrics and gynecology , Hassan Ghazawy hospital ,Geddah Saudia Arabia
Abstract
Background: Insertion of the IUCD immediately is likely to have a high motivation for accepting contraception, and the health-care center provides a convenient setting for inserting the IUCD. Aim of the study is to compare between immediate post-placental insertion of IUCD during cesarean delivery versus 6 weeks post-cesarean insertion delivery Design This study is a prospective randomized controlled trial study. Methods: This study was conducted at Ain Shams university maternity hospital. Women were randomly assigned into two groups; 1st group (Postplacental) containing 100 women in whom IUCD were inserted during cesarean section after delivery of the placenta, The second group (Postpartum) included 100 women where the IUCD were inserted after six weeks postpartum. Primary outcome was the expulsion rate while secondary outcomes were infection, perforation, bleeding, displacement for follow up visits at one month and three months. Data were analyzed by SPSS version 20.
Results: The result of the current study showed there is no significant difference between the two groups as regard expulsion rate also there is not any significant difference regarding infection, perforation, displacement and abnormal bleeding between the both groups. However, perforation rate between both groups is statistically insignificant, it is clinically high significant.
Conclusion: immediate post placental IUCD insertion during caesarean delivery is equal safe and effective method of contraception as IUCD insertion in puerperium, however it may be better as regard patient convenience because easy insertion, no expulsion no complications in using contraceptive method.
The paper was registered in clinicaltrial.gov NCT03404622
 
Keywords
IUD; post placental; perforation; displacement; infection; bleeding
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