scholarly journals Copper intrauterine device placement 6–14 days after unprotected sex

Contraception ◽  
2019 ◽  
Vol 100 (3) ◽  
pp. 219-221 ◽  
Author(s):  
Ivana Thompson ◽  
Jessica N Sanders ◽  
E Bimla Schwarz ◽  
Christy Boraas ◽  
David K Turok
Keyword(s):  
Intrauterine Device ◽  
Unprotected Sex ◽  
Device Placement ◽  
Copper Intrauterine Device

scholarly journals Kontrasepsi Darurat dan Permasalahannya

2021 ◽  
Vol 3 (1) ◽  
pp. 94
Author(s):  
Erna Suparman
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Unwanted Pregnancy ◽  
Unprotected Sex ◽  
Contraceptive Methods ◽  
Emergency Contraceptive Pills ◽  
Emergency Contraceptive Pill ◽  
Contraceptive Pills ◽  
Emergency Contraceptive ◽  
Copper Intrauterine Device

Abstract: Emergency contraception is a contraceptive method that can prevent pregnancy if used immediately following unprotected sex. The use of emergency contraception could reduce the rate of unwanted pregnancy by up to 50%. There are two emergency contraceptive methods, including the emergency contraceptive pill and copper intrauterine device (IUD). Emergency contraceptive pills should be taken immediately following unprotected sex and are most effective when taken within 24 hours. IUD as an emergency contraceptive can be applied five days after unprotected sex, and it does not cause abortion. There is no absolute contraindication for emergency contraception except for known pregnancy, and simply because it is ineffective. The efficacy of emergency contraception can be defined by the proportion of women who become pregnant after using this method and the total pregnancy observed after using the method divided by the estimated number of pregnancies that would occur without using the method.Keywords: emergency contraception; sexual intercourse; pregnancy  Abstrak: Kontrasepsi darurat dapat mencegah kehamilan bila digunakan segera setelah senggama. Penggunaan kontrasepsi darurat dapat menurunkan angka kehamilan yang tidak diinginkan hingga 50%. Terdapat dua metode kontrasepsi darurat, yaitu pil kontrasepsi darurat dan alat kontrasepsi dalam rahim (AKDR) yang menggunakan tembaga. Pil kontrasepsi darurat harus diberikan sesegera mungkin setelah senggama tidak terlindungi, dan paling efektif bila diberikan dalam waktu 24 jam. AKDR sebagai kontrasepsi darurat dapat dipasang hingga lima hari pasca senggama tidak terlindungi. Kontrasepsi darurat terutama bekerja dengan mencegah fertilisasi, dan tidak menggugurkan kehamilan. Tidak ada kontraindikasi absolut untuk penggunaan kontrasepsi darurat kecuali kehamilan yang diketahui, dan ini hanya karena tidak efektif. Efektivitas kontrasepsi darurat dapat didefinisikan dari proporsi wanita menjadi hamil setelah menggunakan metode ini, dan jumlah kehamilan yang diamati setelah penggunaan dibagi dengan perkiraan jumlah kehamilan yang akan terjadi tanpa penggunaan.Kata kunci: kontrasepsi darurat; senggama; kehamilan

Six-week retention after postplacental copper intrauterine device placement

Contraception ◽  
2018 ◽  
Vol 97 (3) ◽  
pp. 215-218 ◽  
Author(s):  
Alyssa Covelli Colwill ◽  
Courtney A. Schreiber ◽  
Mary D. Sammel ◽  
Sarita Sonalkar
Keyword(s):  
Intrauterine Device ◽  
Device Placement ◽  
Copper Intrauterine Device

scholarly journals Ex-vivo forces associated with intrauterine device placement and perforation: a biomechanical evaluation of hysterectomy specimens

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jane Duncan ◽  
Kathryn Fay ◽  
Jessica Sanders ◽  
Benjamin Cappiello ◽  
Jane Saviers-Steiger ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Intrauterine Device ◽  
Compressive Force ◽  
Premenopausal Women ◽  
Biomechanical Analysis ◽  
Uterine Perforation ◽  
Ex Vivo Model ◽  
Single Observation ◽  
Academic Center ◽  
Device Placement

Abstract Background This biomechanical analysis of hysterectomy specimens assesses the forces associated with intrauterine device placement. These include compressive forces required to cause uterine perforation with two commonly available commercial intrauterine device placement instruments and a metal uterine sound. Methods We obtained hysterectomy specimens at a single academic center. All specimens resulted from excision for benign conditions in premenopausal women by any operative method. Within one hour of excision, we stabilized uterine specimens in an apparatus specifically designed for this analysis. A single, experienced clinician performed all experimental maneuvers and measured forces with a Wagner FDIX-25 force gauge. The investigator applied traction on a tenaculum to approximate force used during an intrauterine device placement. The maximum compressive force to the uterine fundus was determined by using manufacturers’ placement instruments for two commercially available products and a metal sound. Results Sixteen individuals provided hysterectomy specimens. No complete perforations occurred while using loaded intrauterine devices; in a single observation the LNG IUS entered the myometrium. The plastic intrauterine device placement rod bowed in all attempts and did not perforate the uterine serosa at the fundus. A metal uterine sound created a complete perforation in all specimens (p < .001). The lowest mean maximum force generated occurred with the levonorgestrel intrauterine system placement instrument 12.3 N (SD ± 3.8 N), followed by the copper T380A intrauterine device placement instrument 14.1 N (SD ± 4.0 N), and highest for the metal sound 17.9 N (SD ± 7.6 N) (p < 0.01). Conclusions In this ex-vivo model, metal uterine sounds caused complete perforation and intrauterine device placement instruments did not. This study received Institutional Review Board (IRB0059096) approval.

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