scholarly journals Assessment of a Novel Fixation Method of a Frameless Intrauterine Contraceptive Device Inserted during Cesarean Delivery as a Means of Preventing Displacements and Expulsions: A Prospective Observational Study

Life ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 83
Author(s):  
Hazal Kutlucan ◽  
Recep Onur Karabacak ◽  
Stefanie De Buyser ◽  
Ahmet Erdem ◽  
Nuray Bozkurt ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Primary Objective ◽  
Fixation Method ◽  
Contraceptive Device ◽  
The Novel ◽  
University Medicine ◽  
Uterine Involution ◽  
Intrauterine Contraceptive ◽  
Good Retention

The primary objective of this study was to assess the novel fixation method of a frameless copper-releasing intrauterine device inserted following placental delivery during cesarean section and analyze its impact in reducing device displacement and expulsion during and after uterine involution. We hypothesized that the dual-anchoring technique could reduce the risk of intrauterine device displacement and expulsion during and after the uterine involution. The study was conducted at the Gazi University Medicine Faculty Hospital in Ankara, Turkey. Twenty-one pregnant women were enrolled. Insertion was performed following placental removal. To confirm the proper placement and good retention of the device, the distance between the fundal serosa (S) and device anchor knot (A) was measured (S–A) during follow-ups, by ultrasound. There were significant differences in the S–A, as observed by ultrasound at discharge and at 6 weeks post-delivery, which is consistent with the tissue contractions associated with uterine involution. Notwithstanding the uterine involution, no device displacements or expulsions occurred, which indicated a good retention of the frameless device. This innovative retention method of the frameless intrauterine device ensures a well-tolerated, long-term contraception, allowing for immediate contraception and proper pregnancy spacing for cesarean scar healing, and overcomes the issue of expulsion encountered with conventional intrauterine systems.

scholarly journals Forgotten intrauterine device contributing to infertility

2011 ◽  
Vol 1 (3) ◽  
pp. 74
Author(s):  
Gabriel O. Igberase
Keyword(s):  
Health Care Providers ◽  
Past History ◽  
Intrauterine Device ◽  
Contraceptive Device ◽  
Care Providers ◽  
Intrauterine Contraceptive ◽  
Long Term Follow Up ◽  
History Of ◽  
Short And Long Term

The aim of the study is to show that long standing forgotten intrauterine device contributes to infertility, reporting three cases presented at Central Hospital Warri, Nigeria, a government tertiary health center. Three cases of forgotten intrauterine contraceptive device (IUCD) contributing to infertility were seen. Two were inserted for contraceptive reasons while one was inserted while being managed for uterine synechae. Health care providers should ensure proper documentation of all procedures carried out, adequate counseling which should include taking an informed consent and also ensuring both short and long term follow up of their clients. Also all patients being evaluated for infertility and clients with past history of intrauterine device must have a speculum examination and ultrasound scan carried out.

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.

scholarly journals Safety, Efficacy, and Patient Acceptability of the Copper T-380A Intrauterine Contraceptive Device

2011 ◽  
Vol 4 ◽  
pp. CMWH.S5332
Author(s):  
Anita L. Nelson
Keyword(s):  
Intrauterine Device ◽  
Cost Effective ◽  
Mechanisms Of Action ◽  
Contraceptive Device ◽  
Menstrual Blood Loss ◽  
First Line ◽  
Medical Problems ◽  
Patient Acceptability ◽  
Cost Effective Method ◽  
Intrauterine Contraceptive

The ParaGard Copper T 380A intrauterine device (CuT380A) provides reversible contraception that is as effective as sterilization for up to 20 years. The CuT380A is a mainstream, first-line contraceptive option for most healthy women, including nulligravid women, as well as many women who have serious medical problems. Because it is the most cost-effective method of birth control, the CuT380A is the preferred IUD, except for women who desire lighter or no menstrual blood loss. Surveys reveal that 95% of US CuT380A users are “very” or “somewhat” satisfied with their method. This article describes current candidates for IUD use, discusses the mechanisms of action of the CuT380A, provides guidance to reduce barriers to IUD access, suggests counseling points for patients, and outlines techniques to reduce the risks and side effects that can be associated with use of the CuT380A.

scholarly journals A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device

2015 ◽  
Vol 1 (4) ◽  
pp. 72-73
Author(s):  
A Gayatri ◽  
Nagendra Prasad
Keyword(s):  
Rare Case ◽  
Intrauterine Contraceptive Device ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Bicornuate Uterus ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Postmenopausal Female ◽  
Intrauterine Contraceptive Devices

ABSTRACT Early intrauterine contraceptive devices (IUCDs) like Lippes Loop were intended for long-term use until menopause and hence often retained for years, and many patients present well into menopause still bearing a Lippes Loop either deliberately or forgotten. We present a case of a 65-year-old postmenopausal female patient presented with complaints of spotting per vagina since 20 days, associated with white discharge per vagina. Ultrasound abdomen showed calcified endometrium with IUCD in the cervical canal. Hysteroscopy was done. As IUCD could be visualized but could not be removed, hence hysterectomy was done. How to cite this article Gayatri A, Nagarathnamma R, Prasad N. A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device. J Med Sci 2015;1(4): 72-73.

Prevalence of Complications after Interval Postpartum Intrauterine Device Insertion

2021 ◽  
Vol 15 (9) ◽  
pp. 2785-2788
Author(s):  
Saba Abbas ◽  
Sadia Anwar ◽  
Kalsoom Essa Bhattani ◽  
Zubaida Khanum Wazir ◽  
Rubina Babar
Keyword(s):  
Teaching Hospital ◽  
Intrauterine Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Uterine Infection ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Background and Aim: Postpartum intrauterine device (PPIUD) is a reversible, long-term and effective technique of contraception. The intrauterine device (IUD) is inserted within 48 hours of delivery. The immediate insertion of an intrauterine device causes certain complications. The present study aimed to assess the prevalence of complications after Interval Postpartum Intrauterine Device Insertion. Materials and Methods: This cross-sectional study was carried out on 147 women who underwent postpartum IUD (PPIUD) insertions during from January 2021 to June 2021 at Gynecology department, Mufti Mehmood Memorial Teaching Hospital (MMMTH), Dera Ismail Khan and Muhammad Teaching Hospital Peshawar. All the women who delivered and showed willingness for PPIUCD insertion were enrolled and continuously follow-up for 4 to 6 weeks after delivery. Demographic, obstetric, and clinical parameters were recorded on pre-designed medical proforma. PPIUCD insertion after 6 weeks of delivery were followed-up for the evaluation of complications. Uterine infection, medical removal of IUD, IUD expulsion, perforation, and method discontinuation were the outcome variables. SPSS version 20 was used for data analysis. Results: Of the total deliveries, 147 women inserted the postpartum intrauterine contraceptive device (PPIUCD). Of the total, about 122 (83%) women returned for follow-up after 6 weeks. All the women underwent transvaginal insertion of intrauterine contraceptive devices. The PPIUCD insertion related complications with prevalence were uterine infection 26 (21.3%), overall method suspension 17 (13.9%), perforation 20 (16.4%), interceptive uterine device expulsions 25 (20.5%), and intrauterine device removal 32 (26.2%). The severe uterine infection was in 2 (1.7%) cases who were hospitalized. Conclusion: The postpartum intrauterine device cumulative expulsion rate was higher among women compared to the expulsion rate of insertions. The longer duration of bloody lochia flow and delivery intrauterine device insertions were the key risk factors for expulsion of PPIUCD. Women can safely utilize intrauterine contraceptive devices with low complications beyond four week. Keywords: Postpartum intrauterine device; Complications; Intrauterine device expulsion

scholarly journals Evaluation of safety, efficacy, acceptance and expulsion of post placental intrauterine contraceptive device in a tertiary care centre

2018 ◽  
Vol 7 (2) ◽  
pp. 542
Author(s):  
Geetha Mahadevan ◽  
Nithya Chandika B.
Keyword(s):  
Analytical Study ◽  
Intrauterine Device ◽  
Tertiary Care ◽  
Steady Increase ◽  
Contraceptive Device ◽  
Common Complication ◽  
Tertiary Care Centre ◽  
Obstetrics And Gynaecology ◽  
Intrauterine Contraceptive ◽  
Post Placental

Background: Postpartum intrauterine device provides an effective temporary method of contraception for the woman who needs birth spacing rather than birth limitation and also a quasi-permanent family planning method. The aim of this study was to study the efficacy, acceptance, safety and complication of PPIUCD insertion.Method: This a retrospective analytical study done in a tertiary care teaching institute, Institute of Obstetrics and Gynaecology Egmore for a six-year period from January 2010 to December 2015 with a sample size of 81204. Outcomes measured were safety, efficacy, acceptance (patients and professionals) and complications.Results: For the study period of six years the total number of women delivered were 81204. A steady increase was noted in the insertion of PPIUCD from 2010 (1.98%) to 2015 (58%). 50.5% had insertion following caesarean section and 49.5% following vaginal delivery. Primipara had a higher rate of acceptance amounting to 74.74%. Most common complication reported was missing strings 9.25% and a greater part of the patients (83%) did not have any complaints.Conclusions: Enthusiasm and conviction on the part of the health care provider goes a long way in improving the acceptance rate of PPIUCD. It is an indispensable contraceptive tool for our country since our women most often do not return for postnatal contraceptive options.

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 PENGARUH PENYULUHAN PENGGUNAAN IUD DENGAN PENGETAHUAN IBU DALAM MENGGUNAKAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI PUSKESMAS SEKINCAU LAMPUNG BARAT TAHUN 2018

2019 ◽  
Vol 13 (1) ◽  
pp. 48-55
Author(s):  
Rilyani Rilyani ◽  
Riska Hediya Putri ◽  
Desy Lestari
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Intrauterine Device ◽  
Research Result ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Purposive Sampling ◽  
Intrauterine Contraceptive

KNOWLEDGE IN INTRAUTERINE CONTRACEPTIVE DEVICE (IUD) AMONG USERS OF IUDBackground: Intra Uterine Devices (IUD) is the contraceptive choices that are effective, safe, and convenient for most women.IUD is a reversible contraceptive method most commonly used throughout the world with the use of approximately 100 million women, mostly in China.Purpose: Knowing thateffect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Methods: This research quantitative, with designQuasi Experimental with one group pretest-postes design approach, total population using slovin formula obtained 96 respondents technique in this research is purposive sampling. The research will be conducted at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Instrument with questionnaire research and statistic test usedT-testResults: Finding thataverage knowledge before given counseling that is Mean 8.15 Standar Deaviasi 2.475 (4-12), after counseling Mean 12.91 Standar Deviasi 1.807 (10-17). Statistical test results T-tes obtained p-value 0.000.Conclusion:There is an effect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.. Suggesting to Management of Public Health Services (Puskesmas)this research result can improve mother's knowledge by doing health counseling with media leaflet so it can increase interest users of  IUD.Keywords: Counseling, Knowledge, Contraception, intrauterine contraceptive device (IUD) Pendahuluan: Berdasarkan data hasil survay yang dilakukan di 5 puskesmas di Kabupaten Lampung Barat pada tahun 2016, pemakaian IUD di Puskesmas Sumber Jaya didapat 62 orang (2.6%) dengan pemasangan IUD dari 1.688 pemasangan alat kontrasepsi, Puskesmas Sekincau 34 orang (3.5%) dari 2.288 pemasangan, Puskesmas Lombok 67 orang (3.1%) dari 2.054 pemasangan, Puskesmas Air Hitam 40 pemasangan (2.0%) dari 1.937 pemasangan, dan Puskesmas Buay Nyerupa sebanyak 58 orang (2.2%) dari 2.532 pemasangan (Data Pemasangan IUD Kab. Lampung Barat, 2016).Tujuan: Diketahui pengaruh  penyuluhan   tentang iud terhadap pengetahuan ibu dengan penggunaan kontrasepsi Intra Uterine Device (IUD) Di Wilayah KerjaPuskesmas Sekincau Lampung Barat Tahun 2018.Metode: Jenis penelitian ini adalah kuantitatif, dengan desain penelitian ini adalah Quasi Eksperimental dengan pendekatan one group pretes-postes design, jumlah populasi sebanyak 2.288, dengan menggunakan rumus slovin didapat 96 teknik sampel dalam penelitian ini adalah purposive sampling. Penelitian akan dilakukan di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun2018, dengan instrument penelitian kuisioner dan uji statistic menggunakan ujit-tesHasil: Nilai rata-rata pengetahuan sebelum diberikan penyuluhan yaitu Mean 8.15 Std. Dev 2.475  S. Eror 0.253 nilai benar kuisioner pengetahuan min-max 4-12, setelah penyuluhan Mean 12.91 Std. Dev 1.807 S. Eror 0.184 nilai benar kuisioner pengetahuan min-max 10-17. Hasil uji statistik t-tes didapat nilai p-value 0.000 (<0.05).Simpulan: Terdapat pengaruh penyuluhan  penggunaan IUD dengan pengetahuan ibu dalam menggunakan alat kontrasepsi Intra Uterine Device (IUD) di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun 2018. Saran diharapkan hasil penelitian ini dapat meningkatkan pengetahuan ibu dengan cara melakukan penyuluhan kesehatan dengan media penyajian PPT pada slide melalui LCD sehingga dapat meningkatkan minat pengguna KB IUD.

scholarly journals Ileal Perforation after Intrauterine Device Insertion

2021 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Suleiman Ghunaim
Keyword(s):  
Intrauterine Device ◽  
Bowel Injury ◽  
Intrauterine Contraceptive Device ◽  
Transvaginal Sonography ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Clinical Surveillance ◽  
Device Placement ◽  
Device Use

The intrauterine contraceptive device is the second most popular form of contraception worldwide. Uterine perforations may rarely complicate intrauterine contraceptive device use and are believed to occur mostly at the time of insertion. In the majority of cases, perforations are not recognized by the operator and remain asymptomatic. In rare instances however, severe delayed complications involving adjacent organs may ensue. We report an unusual case of uterine perforation with bowel injury diagnosed two years after the insertion of a copper intrauterine contraceptive device. We aim to address the use of transvaginal sonography to confirm proper intrauterine contraceptive device placement following a technically challenging insertion, clinical surveillance, and prompt removal of an intraperitoneal intrauterine contraceptive deviceto prevent potential serious complications, such as bowel embedment. Keywords: Bleeding; Bowel injury; Contraception; Intrauterine contraceptive device; Uterine perforations. Abbreviations IUD: intrauterine contraceptive device; G2P2: Gravidity 2 Parity 2

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