scholarly journals The Risk of Expulsion is Higher in IUD-Endometrium Distance of More than 10 mm

2016 ◽  
Author(s):  
Teguh Senjaya
Keyword(s):  
Vaginal Delivery ◽  
Obstet Gynecol ◽  
Index Finger ◽  
Average Distance ◽  
Uterine Cavity ◽  
Gestation Age ◽  
Post Placental ◽  
Uterine Fundus

Objective: To acknowledge the rate of expulsion in post placental IUD CuT-380A insertion after vaginal delivery. Method: Postplacental IUD Cu T-380A insertion was performed at least 10 minutes after the placenta has been delivered by inserting IUD Cu T-380A in uterine cavity using index finger, and positioned the IUD in uterine cavity and pushed as high as possible directly to the uterine fundus. Then the IUD-endometrium distances were checked using transvaginal USG on the seventh and forty second day after IUD insertion. Result: From May and August 2012 has been done post placental IUD Cu T-380A set in 38 women, found that average of women age was ≥ 30 years old (34.21%), multi parities (63.16%), and gestation age for 37-42 weeks (100%). In this study found that three expulsion cases. Totally expulsion found in 2 cases, each found in days of 16 with averages distances of IUD and endometrium for 16.8 mm and in days of 19 with average distances of IUD-ED for 13.5 mm after IUD set. While partially expulsion found in 1 case, occurred in days of 11 after IUD set with average distance IUD-ED for 13.2 mm. Conclusion: IUD Cu T-380A set after vaginal delivery that observed for 42 days found that 3 (7.89%) peoples have expulsion. There is significant correlation the distance between IUD and ED in expulsion occurrences. [Indones J Obstet Gynecol 2013; 37-1: 26-31] Keywords: expulsion, post placental IUD Cu T-380A

scholarly journals Hang-up IUD, New Technique for Suturing CuT-380A IUD to Uterine Fundus in Immediate Postplacental Insertion during Cesarean Delivery: Twelve Months Follow up

2016 ◽  
Author(s):  
Hary Tjahjanto ◽  
Indah T Haryuni
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Caesarean Delivery ◽  
Obstet Gynecol ◽  
Uterine Cavity ◽  
New Technique ◽  
Pearl Index ◽  
Straight Needle ◽  
Uterine Fundus

Objective: The aim of this study was to evaluate the effectiveness, side effects and acceptability of postplacental CuT-380A IUD insertion using new technique for suturing to uterine fundus during cesarean section (hang up technique). Method: Prospective cohort study of postplacental IUD CuT-380A insertion during cesarean delivery. Hang-up technique consists of performing a puncture in the center of the fundus wall using straight needle into the uterine cavity and subsequently using chromic catgut no. 1 to tie the IUD using anchor knot and hanging the IUD to the fundus. Our subjects were women who underwent caesarean delivery at dr. Kariadi Hospital between 1st June 2009 to 31st April 2011 and followed up at 12 months follow-up, one woman underwent IUD removal because of severe dysmenorrhea. No perforation or expulsion was reported. Conclusion: Immediate postplacental insertion of IUD CuT-380A using hang-up technique is safe and effective. Typical use effectiveness is high (Pearl Index 0.93) and there were no reported incidents of expulsion or perforation. Acceptance and continuation rate were high, 98.15% and 95.37% respectively. [Indones J Obstet Gynecol 2014; 2-31: 132-139] Keywords: anchor knots, cesarean section, hang-up IUD, postplacental IUD insertion

scholarly journals A comparative evaluation of post placental intrauterine contraceptive device (IUCD) insertion between normal delivery and caesarean section

2018 ◽  
Vol 7 (9) ◽  
pp. 3826
Author(s):  
Sharmistha Sarkar ◽  
Dhruba Prasad Paul ◽  
Jayanta Ray
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Comparative Evaluation ◽  
P Value ◽  
Contraceptive Device ◽  
Government Medical College ◽  
Expulsion Rate ◽  
Medical College ◽  
Significant Difference ◽  
Post Placental

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.

scholarly journals Differences in Expulsion on Post-placenta Intrauterine Contraceptive Device between Mother with Vaginal and Cesarean Delivery

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Atika Zahria Arisanti ◽  
Tono Djuwantono ◽  
Sri Endah Rahayuningsih
Keyword(s):  
General Hospital ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Intrauterine Device ◽  
Sampling Technique ◽  
Sectio Caesarea ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Post Placental

Intrauterine device (IUD) is a long term, highly effective, and reversible contraception method. In Indonesia, the number of IUD acceptors is still lower than other methods. An effort to improve the long term contraception is using post-placental IUD that can be a choice for postpartum mother who has limited access to another contraception service. The purpose of this study was to compare the incidence of expulsion in post-placental IUD insertion between mother with vaginal delivery and cesarean delivery. This study design was a comparative cross-sectional method with a consecutive sampling technique conducted at Dr. Hasan Sadikin General Hospital Bandung and Dr. Kariadi General Hospital Semarang from November 2017 to February 2018. Subjects were postpartum mothers who received post-placental IUD insertion at vaginal delivery and cesarean delivery. Samples were 96 women, consisting of 48 women with IUD insertion in vaginal delivery and 48 women with IUD insertion in cesarean delivery. Data obtained from interviews and transvaginal ultrasonography examination. The result showed there was a difference in expulsions incidence between IUD’s insertion among vaginal delivery compared to cesarean delivery (p=0.041). It concluded that expulsion’s to post-placental IUD insertion is higher in vaginal delivery compared to cesarean delivery. PERBEDAAN KEJADIAN EKSPULSI PADA PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM PASCAPLASENTA ANTARA IBU DENGAN PERSALINAN PER VAGINAM DAN PERSALINAN SECTIO CAESAREAAlat kontrasepsi dalam rahim (AKDR) merupakan kontrasepsi jangka panjang, efektif dan reversibel. Di Indonesia, jumlah akseptor AKDR masih lebih rendah daripada metode lainnya. Salah satu upaya untuk meningkatkan penggunaan kontrasepsi jangka panjang, yaitu dengan AKDR pascaplasenta yang dapat menjadi alternatif bagi ibu pascasalin yang mempunyai akses terbatas untuk mendapatkan pelayanan kontrasepsi. Penelitian ini bertujuan membandingkan kejadian ekspulsi pada pemasangan AKDR pascaplasenta antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea. Desain penelitian ini adalah cross-sectional komparatif dengan teknik pengambilan sampel consecutive yang dilaksanakan di RSUP Dr. Hasan Sadikin Bandung dan RSUP Dr. Kariadi Semarang dari bulan November 2017 hingga Februari 2018. Subjek penelitian adalah ibu pascasalin yang mendapatkan insersi AKDR pascaplasenta pada persalinan per vaginam dan persalinan sesar. Jumlah sampel 96 ibu, terdiri atas 48 ibu yang bersalin per vaginam dan 48 ibu yang bersalin sesar. Data didapatkan melalui wawancara dan pemeriksaan ultrasonografi transvaginal. Hasil penelitian menunjukkan terdapat perbedaan kejadian ekspulsi pada pemasangan AKDR antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea (p=0,041). Simpulan, kejadian ekspulsi pada pemasangan AKDR pascaplasenta lebih tinggi pada ibu dengan persalinan per vaginam dibanding dengan persalinan sectio caesarea.

scholarly journals The Value of Color and Power Doppler in the Diagnosis of Ectopic Pregnancy

2013 ◽  
Vol 7 (4) ◽  
pp. 429-439 ◽  
Author(s):  
Ulrich Honemeyer ◽  
Sanja Kupesic-Plavsic ◽  
Afshin Pour-Mirza
Keyword(s):  
Ectopic Pregnancy ◽  
Obstet Gynecol ◽  
Power Doppler ◽  
Three Dimensional ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
First Trimester ◽  
Tubal Pregnancy ◽  
Ectopic Pregnancies ◽  
Color And Power Doppler

ABSTRACT Implantation of the zygote outside the uterine cavity occurs in 2% of all pregnancies. The rate of ectopic pregnancies has increased from 0.5% in 1970 to 2% today. The prevalence of ectopic pregnancy in all women presenting to an emergency department with first-trimester bleeding, lower abdominal pain or a combination of the two is between 6 and 16%. When diagnosis is made early, the product of conception can be removed safely by laparoscopic surgery and be submitted for histological examination. Tubal rupture is a complication of late diagnosed tubal pregnancy which is more difficult to treat conservatively and often indicates tubectomy or segmental resection. In 5 to 15% of treated ectopic pregnancy cases, remnant conception product parts are diagnosed and may require a final methotrexate (MTX) injection. Rare sites of ectopic pregnancy include interstitial, cervical, abdominal and cesarean scar pregnancies. Our manuscript reviews and illustrates the use of novel sonographic methods such as three-dimensional ultrasound, multiplanar view, in combination with color and power Doppler ultrasound, for early detection of ectopic tubal pregnancy and of other, rare locations of ectopic pregnancy. How to cite this article Honemeyer U, Alkatout I, Plavsic SK, Pour-Mirza A, Kurjak A. The Value of Color and Power Doppler in the Diagnosis of Ectopic Pregnancy. Donald School J Ultrasound Obstet Gynecol 2013;7(4):429-439.

Complete asymptomatic fundal rupture of the uterus in the first stage of labor

2020 ◽  
Vol 69 (2) ◽  
pp. 83-88
Author(s):  
Marina N. Mochalova ◽  
Lyubov A. Kuzmina ◽  
Anastasia Yu. Mironenko ◽  
Igor B. Likhanov ◽  
Viktor A. Mudrov
Keyword(s):  
Postpartum Period ◽  
Clinical Observation ◽  
Uterine Cavity ◽  
Satisfactory Condition ◽  
Pain Syndromes ◽  
Uterine Inertia ◽  
Uterine Scar ◽  
Uterine Fundus ◽  
First Stage Of Labor ◽  
Previous Cesarean

A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. During clinical observation, the patient did not have hemorrhagic and pain syndromes. Operative delivery was performed due to primary uterine inertia. A newborn did not show any signs of asphyxia. During the operation, a rounded defect of 4 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. It was sutured with a triple-row suture. The area of the lower segment was thinned to 2 mm, with deformation and defects not detected. In the postpartum period, subinvolution of the uterus was noted. The patient was discharged from hospital in satisfactory condition on the 10th day of the postpartum period.

scholarly journals COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL

2020 ◽  
Vol 70 (6) ◽  
pp. 1707-11
Author(s):  
Saira Tasneem ◽  
Sanum Kashif ◽  
Erum Pervaiz ◽  
Faisal Azam
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Acceptance Rate ◽  
Intrauterine Contraceptive Device ◽  
Normal Vaginal Delivery ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive ◽  
Post Placental

Objective: To compare the acceptability of insertion of post placental intra uterine contraceptive device, withrespect to gravidity between vaginal deliveries and caesarean sections. Study Design: Prospective comparative study. Place and Duration of Study: Frontier Corp Hospital, Quetta, from Jan 2019 to Jan 2020. Methodology: A total of 399 females with age of 18 to 45 years with gravidity (primi, multi and grand multigravida) were counselled during antenatal visits about benefits and risks of post placental intrauterine contraceptive device (PPIUCD) insertion. For complications, females were assessed at 1 and 6 weeks after delivery. Results: A total of 399 females with mean age 27.95 ± 5.07 years were included in study. About 235 (55.9%)women delivered vaginally and 164 (41.4%) women by caesarean section. Acceptance rate was 3.8% and 4.3% for vaginal and caesarean deliveries respectively. Eleven (73.3%) women were grand multi gravida and 4 women(26.6%) were multi gravid in vaginal delivery acceptance group versus 8 women (47%) grand multi and 9 women (52.9%) multi gravida in caesarean acceptance group. Five (15%) females presented with complications (3 with abdominal pain and 1 each with infection and expulsion). Conclusion: The overall acceptance rate of PPIUCD was low in this study, the acceptance rate was higher inwomen undergoing normal vaginal delivery (NVD) as compared to lower segment caesarean section (LSCS),similarly more of the grand multiparas accepted the method as compared to other participants however thedifferences were not statistically significant.

scholarly journals Successful outcome in a perplexing case of Roberts uterus: a rare uterine anomaly! A rare case report with review of literature

2019 ◽  
Vol 9 (1) ◽  
pp. 440
Author(s):  
Swati Singh ◽  
Renuka Malik ◽  
Pooja Gupta ◽  
Anjum Ara
Keyword(s):  
Gestational Hypertension ◽  
Uterine Cavity ◽  
Breech Presentation ◽  
Endocrine Function ◽  
Successful Outcome ◽  
Female Resident ◽  
Unicornuate Uterus ◽  
Rare Case Report ◽  
Married Female ◽  
Uterine Fundus

Robert uterus is a rare Mullerian development anomaly with very few cases reports available. It presents with triad of morphologic features of - Blind hemi cavity with or without unilateral hematometra, contralateral unicornuate uterine cavity and normal uterine fundus with or without small external indentation. The major difficulty lies in making the diagnosis of Robert’s uterus. All the reported cases of Robert’s uterus have been managed differently according to patient’s complaints. A 25-year-old married female, resident of Agra presented to gynecology OPD of Dr RML Hospital and associated PGIMER in June 2013, with primary infertility and cyclical left sided dysmenorrhoea since menarche. Patient was consulting at her hometown Agra for 2 years and had an USG and MRI pelvis report of Feb. 2013 with her showing unicornuate uterus with rudimentary horn. Infertility investigations were done in our hospital. HSG report was of localized spill on right with left tubal block. Patient was posted for diagnostic hystero-laproscopy which was further followed by laprotomy, after which we could reach to a diagnosis of Robert uterus with non-communicating left cavity and with severe endometriosis. Patient needed a second hysteroscopy for lysis of septum and subsequently conceived with IVF. She delivered a healthy male baby of 2.65 kg by elective LSCS at 37 weeks with associated breech presentation with gestational hypertension with severe IHCP on 20 June 2019. Paediatric surgeons and gynecologists should be aware of this rare atypical obstructive Mullerian malformation and its management to avoid inappropriate management delays in these patients. A timely diagnosis and definite treatment have a great impact on future reproductive and endocrine function.

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