A RARE CASE OF FAVOURABLE PREGNANCY OUTCOME FOLLOWING CONTRACEPTION FAILURE WITH INTRAUTERINE DEVICE IN SITU AMIDST 'LOCKDOWN' DURING COVID-19 PANDEMIC

Obstetric Emergencies ◽

Adverse Pregnancy ◽

Reliable Methods

Different reliable methods of contraception are used. However, women still get pregnant when it fails. It would be dramatic when a lady has an intrauterine device in place and still she conceive and delivers a healthy baby at term. Failure rate of copper containing intrauterine contraceptive device (IUCD) is usually less than 2 women per 100 women years. Pregnancy continued with IUCD in situ can result in adverse pregnancy and neonatal outcome in comparison to its removal at an early stage of pregnancy. Early detection of pregnancy with IUCD in situ and proper management are very important to avoid many obstetric emergencies later on. The reported case is precisely the same kind of case, where the lady had left with no other option but to continue her pregnancy due to lack of required medical facility early in her gestation, but had a favourable maternal and neonatal outcome.

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

Clinical Medicine Insights Women s Health ◽

10.4137/cmwh.s5332 ◽

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.

Prevalence of Complications after Interval Postpartum Intrauterine Device Insertion

10.53350/pjmhs211592785 ◽

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 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

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180169 ◽

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 ◽

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.

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

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v13i1.1074 ◽

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 ◽

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.

Ileal Perforation after Intrauterine Device Insertion

Gynecology and Obstetrics Open Access Open Journal ◽

10.33169/gyne.obste.gaooaoj-2-109 ◽

2021 ◽

Vol 2 (1) ◽

pp. 35-37

Author(s):

Suleiman Ghunaim

Keyword(s):

Intrauterine Device ◽

Bowel Injury ◽

Transvaginal Sonography ◽

Uterine Perforation ◽

Contraceptive Device ◽

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

Missing Intrauterine Device Copper-T: Case Series

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v16i3.21438 ◽

2018 ◽

Vol 16 (3) ◽

pp. 354-356

Author(s):

Shekhar Thapa ◽

Ganesh Dangal ◽

Aruna Karki ◽

Hema Kumari Pradhan ◽

Ranjana Shrestha ◽

...

Keyword(s):

Intrauterine Device ◽

Case Series ◽

The Other ◽

Contraceptive Device ◽

Vasovagal Reactions ◽

Reversible Method ◽

Long Acting ◽

Copper Iud

An intrauterine contraceptive device (IUD) is a long acting, highly effective, economic and reversible method of contraception used worldwide. The most used devices are copper IUD (Copper-T) or Progesterone IUD. Common complications include failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, expulsion and rarely uterine embedment and perforation. In this case series we will discuss three cases of missing Copper-T. In one case Copper T was inserted at our hospital and in the other cases it was inserted in the periphery and all the cases was managed surgically with different modality. Keywords: Copper-T; Intrauterine device; laparoscopy; laparotomy; perforation.

Utilization of Cu-T in Paschim Midnapur district of West Bengal, India: An appraisal

South East Asia Journal of Public Health ◽

10.3329/seajph.v3i2.20036 ◽

2014 ◽

Vol 3 (2) ◽

pp. 30-34

Author(s):

Anima Haldar ◽

Samir Kumar Roy ◽

Tushar Kanti Saha ◽

Rama Prasad Roy ◽

Baijayanti Baur ◽

...

Keyword(s):

West Bengal ◽

Intrauterine Device ◽

Oral Contraceptive Pill ◽

Married Women ◽

Reproductive Age ◽

Current Status ◽

Contraceptive Device ◽

The Government

As a part of its commitment towards provision of quality spacing services in family planning, the Government of India introduced Cu-T 380A in 2002 with an effective protection for 10 years replacing the earlier Cu-T 200B. In India, the use of the intrauterine device (IUD) is very low among married women of reproductive age, despite the fact that the Government offers IUD (Cu-T) services free of cost. The aim of the study was to assess the current status of intrauterine contraceptive device (Copper-T) utilization and to determine the relevant factors influencing utilization by currently married women of the reproductive age. The community-based cross-sectional study was carried out in 3 Blocks and 2 Municipality areas of the West Midnapur district in West Bengal. A multistage random sampling method was carried out to select villages of sub-center areas and wards from Municipality areas. A total of 16 areas were selected for the purpose of the study; 125 eligible couples from each selected area were interviewed by a house-to-house survey in order to cover 2000 eligible couples throughout the district. Only females were the respondents. It was found that 67.4% of the couples admitted to the use of any method of contraception. The Couple Protection Rate (by modern method) was found to be 62.6% in the study area. However, it was demonstrated that Cu-T acceptance rate was only 1.3%. Ligation (38.8 %) contributed the highest other methods included: oral contraceptive pill (19.4%), condom (3%), vasectomy (0.1%) and others (4.8%). The ever use rate of intrauterine contraceptive device (Cu-T/loop) in the study area was 6.2%, which increased significantly with the advancement of maternal age, but no association was found with literacy status of the respondents. Lack of motivation (48.4%), misconception (14%), unawareness (11.3%) unwillingness (9.3%) and religious/cultural barrier (2.4%) were the major factors for underutilization/non-utilization as elicited from the present study. Advocacy through mass media and sustenance of behavior change communication also needed for higher IUD utilization in both rural and urban area. DOI: http://dx.doi.org/10.3329/seajph.v3i2.20036 South East Asian Journal of Public Health Vol.3(2) 2013: 30-34

Missing Intrauterine Device Copper-T: Case Series

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v16i3.1209 ◽

2018 ◽

Vol 16 (3) ◽

pp. 354-356

Author(s):

Shekhar Thapa ◽

Ganesh Dangal ◽

Aruna Karki ◽

Hema Kumari Pradhan ◽

Ranjana Shrestha ◽

...

Keyword(s):

Intrauterine Device ◽

Case Series ◽

The Other ◽

Contraceptive Device ◽

Vasovagal Reactions ◽

Reversible Method ◽

Long Acting ◽

Copper Iud

An intrauterine contraceptive device (IUD) is a long acting, highly effective, economic and reversible method of contraception used worldwide. The most used devices are copper IUD (Copper-T) or Progesterone IUD. Common complications include failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, expulsion and rarely uterine embedment and perforation. In this case series we will discuss three cases of missing Copper-T. In one case Copper T was inserted at our hospital and in the other cases it was inserted in the periphery and all the cases was managed surgically with different modality.Keywords: Copper-T; Intrauterine device; laparoscopy; laparotomy; perforation.

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184444 ◽

2018 ◽

Vol 6 (11) ◽

pp. 3756

Author(s):

Pallipuram S. Bhageerathy ◽

Scott A. Singh ◽

Manjula Dhinakar ◽

Jose M. Lukose

Keyword(s):

Bowel Perforation ◽

Intrauterine Device ◽

Abdominal Cavity ◽

Greater Omentum ◽

Uterine Perforation ◽

Contraceptive Device ◽

Minimally Invasive Surgical ◽

Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2019.0034 ◽

2021 ◽

Vol 15 (1) ◽

pp. 1-6

Author(s):

Elpida Samara ◽

Kerry Howe-Bush ◽

Mark Portet ◽

David C Howlett

Keyword(s):

Sigmoid Colon ◽

Intrauterine Device ◽

Uterine Cavity ◽

Major Complication ◽

Unusual Complication ◽

Uterine Perforation ◽

Contraceptive Device ◽

Pelvic Magnetic Resonance Imaging ◽

And Migration

An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.