Novel Method and Device for Delivery and Retention of Intrauterine Devices in the Immediate Postpartum Period: Pilot Baboon Feasibility Study

2020 ◽  
Author(s):  
Etse-Oghena Campbell ◽  
Christopher G. Rylander ◽  
Lauren Thaxton ◽  
Marian Yvette Williams-Brown
Keyword(s):  
Pregnant Woman ◽  
Feasibility Study ◽  
Postpartum Period ◽  
Post Partum ◽  
Intrauterine Device ◽  
Intrauterine Devices ◽  
Expulsion Rate ◽  
Safety And Efficacy ◽  
Novel Method ◽  
Post Partum Period

Abstract The immediate post-partum period offers a convenient time to have an intrauterine device placed because of the co-location of a non-pregnant woman and her clinician; however, this practice is associated with increased expulsion rates of up to 30%, compared with a 3% expulsion rate for interval insertions. This paper presents a device and method to improve intrauterine device delivery and retention in the immediate postpartum period. This initial feasibility study illustrates that it is possible to temporarily tether a commercially available intrauterine device within the uterus of an immediately postpartum baboon. The results indicate this device and method are technically feasible, but further studies will be needed to evaluate safety and efficacy in reducing expulsion rates.

Transvaginal ultrasonographic assessment of the expulsion rate of intrauterine devices inserted in the immediate postpartum period: a pilot study

Contraception ◽  
2005 ◽  
Vol 72 (3) ◽  
pp. 192-195 ◽  
Author(s):  
Ana Lúcia Letti Müller ◽  
José Geraldo Lopes Ramos ◽  
Sérgio H. Martins-Costa ◽  
Ricardo S. Palma Dias ◽  
Edimárlei G. Valério ◽  
...  
Keyword(s):  
Pilot Study ◽  
Postpartum Period ◽  
Intrauterine Devices ◽  
Expulsion Rate ◽  
Ultrasonographic Assessment

scholarly journals Contraceptive utilization and associated factors among women in the extended post-partum period in wukro town, Tigray, Ethiopia: a community based cross sectional study

2019 ◽  
Author(s):  
Natnael Etsay Assefa ◽  
Yodit Zewdie Berhe ◽  
Weldu Mammo Werid ◽  
Meresa Berewo Mengesha ◽  
Kidanemariam Berhe Tekola ◽  
...  
Keyword(s):  
Family Planning ◽  
Birth Interval ◽  
Postpartum Period ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Contraceptive Utilization ◽  
Post Partum Period

Abstract Background: The extended post-partum period is the twelve months after delivery, which is a very critical time for mothers to ensure a safe birth interval. Many women do not realize that they are at risk of pregnancy during the postpartum period and the importance of birth interval. Birth interval more than two years reduces maternal and child mortality and give a better health for the mother and the child. Because of this assessing post-partum contraceptive utilization and the determining factors is crucial. Hence, the study was conducted to determine contraceptive utilization and identify factors which affect post -partum contraceptive utilization Methods: A community based cross sectional study was implemented among 422 women who gave birth one year prior to the study period in wukro town. The total sample size was allocated to the three kebeles proportionally. Systematic random sampling technique was used to select study subjects. Data were collected by interviewer administered structured questionnaire. The data were coded and entered using EpiData version 3.1 and transported to Statistical Package for Social Science version 20 for analysis. Binary and multivariable logistic regressions were fitted. Odds ratio with 95% confidence interval was used to measure strength of association. Results: A total of 422 women were enrolled in this study. Nearly half (48.6%) of the women were using contraceptive. Multivariable logistic regression showed that prenatal counseling [AOR 3.06(95% CI; 1.30, 7.22)], menses returned [AOR 3.99(95% CI; 1.96, 8.11)] and resuming sexual activity [AOR 5.96(95% CI; 2.67, 13.3)] were positively associated with utilization of postpartum contraceptive. Conclusions: Postpartum contraceptive use was low. Strengthening prenatal family planning counseling and improving women’s awareness about the return of their fertility after childbirth are suggested to improve family planning utilization in extended postpartum period.

scholarly journals Sexuality in the puerperium: the experience of a group of women

2010 ◽  
Vol 44 (4) ◽  
pp. 888-895 ◽  
Author(s):  
Natália Rejane Salim ◽  
Dulce Maria Rosa Gualda
Keyword(s):  
Postpartum Period ◽  
Public Hospital ◽  
Female Sexuality ◽  
Post Partum ◽  
Structured Interview ◽  
Research Approach ◽  
Cultural Terms ◽  
Women's Experience ◽  
Women's Lives ◽  
Post Partum Period

Puerperium is a period of great changes in women's lives, in physiological, psychological and socio-cultural terms. Female sexuality is a broad topic that should be explored vis-à-vis the singularity of woman's experiences which themselves vary at different moments in time. This article is part of the project: Sexuality in the Puerperium, the objective of which was to understand what women's experience of their sexuality is in the postpartum period. Observation and semi-structured interview were used. The research approach was qualitative and narrative was used as the conceptual and methodological method. Six primiparas who gave birth in a public hospital in São Paulo took part in the study. Observation took place in the in-patients unit in the immediate post-partum period. The interviews were conducted in the women´s homes. The results of the study have enabled an understanding to be formed of the meanings and changes in sexuality during the postpartum period as well as of the experiences every woman faces in her new roles, relationships and difficulties.

scholarly journals A follow up study of postpartum intrauterine device insertion in a tertiary health care centre

2017 ◽  
Vol 6 (7) ◽  
pp. 2800
Author(s):  
. Ranjana ◽  
Anita Verma ◽  
Indu Chawla
Keyword(s):  
Family Planning ◽  
Removal Rate ◽  
Post Partum ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
P Value ◽  
Expulsion Rate ◽  
Follow Up Study ◽  
Uterine Anomalies

Background: In view of high rate of unintended pregnancy in our country, particularly in post-partum women, there is a need for reliable, effective and long-term contraception such as intrauterine device (IUCD) in post-partum women. This study was done to determine the efficacy and safety of Post-Partum Intrauterine Device (PPIUCD) and to compare the outcomes of PPIUCD insertion after vaginal delivery and caesarean section.Methods: This follow up study was carried out in the department of Obstetrics and Gynecology, Dr. R.M.L Hospital, PGIMER, New Delhi over a period of 7 month from January 2016 to July 2016. PPIUCD (cu T- 380 A) insertions were done in 136 women who fulfilled the inclusion criteria. Women having haemoglobin less than 8 gm%, rupture of membranes more than 18 hours, obstructed labour, Uterine anomalies, distorted uterine cavity by fibroid, significant postpartum haemorrhage, coagulation disorders, fever or clinical symptoms of infection during labour were excluded from the study. Post insertion counselling was done, and these women were advised to follow up at 6 weeks and then after 6 months postpartum in the family planning O.P.D. At the follow-up visit, the women were asked for any symptoms of unusual vaginal discharge, irregular or heavy bleeding per vagina, and any expulsions if noticed.Results: Total number of cases that reported for follow up in family planning OPD was 118. Therefore, 18 patients were lost in the follow up. In 58.47% women, there was no complaint. Heavy menstrual bleeding was found in 17.79% women and pelvic pain in 16.10% women. The expulsion rate was 5.08% and IUCD removal was done in 12.71% women. Though, the incidence of expulsion and removal rate was more in vaginal insertions than in caesarean insertions but this difference was not statistically significant, while the incidence of missing threads were found more in intra caesarean insertion (28% vs. 11.76% with p value <0.05). Continuation rate at 6 month was 82.20%.Conclusions: PPIUCD insertion is a safe, convenient and effective method of contraception. Although the expulsion rate and removal rate was more in vaginal PPIUCD insertions, the benefits of providing highly effective contraception immediately after delivery outweigh this disadvantage, particularly in our country where most of the women do not come for contraceptive advice after delivery.

scholarly journals ‘Phantom Kicks’: Women’s Subjective Experience of Foetal Kicks after the Postpartum Period

2019 ◽  
Author(s):  
Disha Sasan ◽  
Phillip GD Ward ◽  
Meredith Nash ◽  
Edwina R Orchard ◽  
Michael J Farrell ◽  
...  
Keyword(s):  
Mental Health ◽  
Postpartum Period ◽  
Subjective Experience ◽  
Scientific Literature ◽  
Post Partum ◽  
Qualitative Approach ◽  
Post Partum Period ◽  
Foetal Movement

During pregnancy, a woman will attribute increased abdominal sensations to foetal movement. Surprisingly, many women report that they feel kick sensations long after the pregnancy, however this experience has never been reported in the scientific literature. Here, we show that almost 40% of women in our sample experienced phantom foetal kicks after their first pregnancy, up to 28-years (average 6.8-years) post-partum. Using a qualitative approach, we found that women describe the phantom sensations as ‘convincing’, ‘real kicks’ or ‘flutters’. Twenty-five percent of women described the experience as positive, and 27% reported felt confused or upset by the experience. Our results demonstrate that phantom kicks in the post-partum period are a widely experienced sensation, that may have implications for a woman’s post-partum mental health. The mechanism behind the phantom kick phenomenon is unknown, but may be related to changes in the somatosensory homunculus or proprioception during pregnancy.

scholarly journals PENGARUH PENGIKATAN ALAT KONTRASEPSI DALAM RAHIM TERHADAP KONTINUITAS PADA PEMASANGAN KELUARGA BERENCANA PASCA SALIN METODE TRANSESAREA

2019 ◽  
Vol 2 (2) ◽  
pp. 109-114
Author(s):  
Ariadi Ariadi ◽  
Hafni Bachtiar
Keyword(s):  
Post Partum ◽  
Intrauterine Device ◽  
Unmet Need ◽  
Military Hospital ◽  
Control Group ◽  
P Value ◽  
Expulsion Rate ◽  
Control Group Design ◽  
Post Test ◽  
Missed Opportunity

The insertion of an intrauterine device (IUD) is installed immediately after delivery has been recommended by the WHO, as one method of contraception is safe and effective for interim and prevent missed opportunity (unmet need). IUD insertion after childbirth can avoid the discomfort that usually occurs during the interval insertion, and lochia can obscure any bleeding from the insertion. However, post-partum IUD insertion has disadvantages as well. The risk of the possibility of spontaneous expulsion is very high. This study is an experimental study with the method of post-test control group design to determine differences in IUD expulsion rate tied and not tied when installed during caesarean section at RSUP. Dr.M.Djamil in Padang, and Military Hospital Reksodiwiryo Padang and Painan District Hospital. There were no significant differences between trancaesarean IUD insertion methods that are not tied or tied (P> 0.05). The percentage of expulsion is not tied 11.4% higher compared to 0% tied expulsion. Statistically, were not significant differences as obtained P value> 0.05.Keywords: IUD, tied, trancaesarean

scholarly journals Tapping the Untapped: Huge Potential to Increase Family Planning Users in India

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Lopamudra Paul ◽  
Subrato K Mondal ◽  
Geeta Nanda ◽  
Kara E. Tureski ◽  
Ajay K Singh ◽  
...  
Keyword(s):  
Family Planning ◽  
Family Size ◽  
Postpartum Period ◽  
Health Workers ◽  
Post Partum ◽  
Family Health ◽  
Wealth Index ◽  
Small Scale ◽  
Contraceptive Devices ◽  
Post Partum Period

<div><p><em>India’s family planning programs have historically focused on limiting the number of children but in recent years focus has shifted from limiting births to increased spacing between children, especially among young couples on contraceptive acceptance in the post-partum period. This paper examines the behavior of couples in India on acceptance of contraceptives during the postpartum period by using data from the National Family Health Survey-3 (NFHS-3, 2005-06) and from a small scale survey in state of Chhattisgarh in India. </em></p><p><em> </em></p><p><em>According to the data, approximately 75 percent of women with children under a year and 83 percent of women with children under six months’ old reported not using any contraception. Only 0.9 percent of postpartum women reported acceptance of intrauterine contraceptive devices. The primary reasons cited for not using contraception were breast feeding (27.5 percent) and postpartum amenorrhea (16.9 percent). Education and wealth index and program factor specially interaction with health workers during post-partum period and institutional delivery had a significant effect on acceptance of contraceptives during the postpartum period. Achieving one’s desired family size also positively influenced women’s acceptance of family size soon after delivery. Small scale survey in Chhattisgarh also suggested that acceptance of family planning to space children is not high.</em></p></div>

scholarly journals Comparative study of IUCD inserted intracesarean and after vaginal delivery

2018 ◽  
Vol 7 (5) ◽  
pp. 2007
Author(s):  
Archana Goyal ◽  
Rekha Wadhwani
Keyword(s):  
Removal Rate ◽  
Post Partum ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Cost Effective ◽  
High Rate ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Intrauterine Contraceptive

Background: In view of high rate of unintended pregnancy in our country, particularly in post-partum women, there is a need for reliable, effective, long-term contraception such as intrauterine device (IUD) in post-partum women. The present study was planned to evaluate the safety and efficacy of immediate post-partum IUD insertion in women delivering vaginally or by caesarean section.Methods: The women recruited had CuT 380A insertion immediately after delivery of placenta in vaginal or caesarean delivery. Women having post-partum haemorrhage (PPH), anaemia, pre-labour rupture of membranes >18 h, obstructed labour and distorted uterine cavity by fibroid or by congenital malformation were excluded from the study. The women were followed up at 6 weeks after delivery.Results: A total of 500 women were included in the study. The present study shows that expulsion rate was more in postplacental insertion group i.e. 13.2% while among intracaesarean group it was 6.8% and this difference was statistically significant. Removal rate of PPIUCD (Post-partum Intrauterine Contraceptive device) was higher in postplacental insertion i.e.43 (17.2%) cases whereas in intracaesarean insertion removal rate was 8.4%. Most common cause of removal of PPIUCD in our study was pelvic pain and menstrual disturbances.Conclusions: Thus, from our study it is concluded that PPIUCD is safe, convenient, cost effective, reversible and long-term birth spacing method. It should be part of a maternal/newborn/reproductive health package.

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