Immediate Postplacental Insertion of Copper Intrauterine Device and Evaluation of Expulsion Rate in Cesarean Section | ||||
The Medical Journal of Cairo University | ||||
Article 124, Volume 86, December, December 2018, Page 4403-4407 PDF (475.62 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjcu.2018.62828 | ||||
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Authors | ||||
MANAL M. ABDELLAH, M.D.; SHAHIENAZ H. EL-SHORBAGY, M.D.; AMR M. EL-BADRY, M.D.; NOHA M. HASSAN, M.Sc. | ||||
The Departments of Obstetrics & Gynecology* and Radiology**, Faculty of Medicine, Tanta University, Tanta, Egypt | ||||
Abstract | ||||
Abstract Background: Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar. Aim of Study: We aimed to evaluate the efficacy, displace-ment and expulsion rates of immediate post placental insertion of IUD. Patients and Methods: This prospective study was carried out at Obstetrics and Gynecology Department Tanta University Hospital on 60 patients for whom IUD was the chosen con-traceptive method. Results: Mean age among 60 patients included in the present study was 25.10 years, as regard postinsertion com-plications expulsion in 6% of patients, endometritis in 8% and bleeding in 25%, complications occurred after 3 months was in form of expulsion in 2% of patients, bleeding in 4% of patients and PID in 2% and complications occurred after 6 months was in form of expulsion in 4% of patients bleeding in 5% of patients, PID in 4% of patients and pregnancy in 2% of patients. Conclusion: The findings of the present study confirm previous data that immediate postplacental IUD placement is a viable contraceptive option. | ||||
Keywords | ||||
Intrauterine device – Postplacental – Cesarean section | ||||
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