OBJECTIVES: To assess the efficacy, safety and, thus, advantages and disadvantages, of early postplacental intrauterine device (IUD) insertion. METHODS: IUDs were inserted within 10 min after postplacental expulsion in term pregnancy both in vaginal and cesarean deliveries via a ring forceps. Of the 276 patients enrolled, 235 were included in the study. Recipients were scheduled for examination before hospital discharge and at 6 weeks, 6 months and 12 months after postplacental insertion. RESULTS: The percentages of women returning for a follow-up visit were 221 (94%), 210 (89%) and 183 (78%) at 6 weeks, 6 months and 12 months, respectively. Among IUD acceptors, 74% of the cases had vaginal deliveries and 26% had cesarean deliveries. Continuation rates were relatively high, 87.6% and 76.3%, at 6 and 12 months, respectively, after postplacental insertion of IUD. In this study, the 1-year cumulative expulsion rate with TCu 380A device was 12.3%, which may be regarded as a standard expulsion rate for immediate postplacental insertion of similar models of IUDs. CONCLUSION: The evidence from this study suggests that immediate postplacental insertion of CuT 380 models is an effective, useful, safe, convenient and low-cost procedure for early postpartum contraception.
OBJECTIVES: To assess the efficacy, safety and, thus, advantages and disadvantages, of early postplacental intrauterine device (IUD) insertion. METHODS: IUDs were inserted within 10 min after postplacental expulsion in term pregnancy both in vaginal and cesarean deliveries via a ring forceps. Of the 276 patients enrolled, 235 were included in the study. Recipients were scheduled for examination before hospital discharge and at 6 weeks, 6 months and 12 months after postplacental insertion. RESULTS: The percentages of women returning for a follow-up visit were 221 (94%), 210 (89%) and 183 (78%) at 6 weeks, 6 months and 12 months, respectively. Among IUD acceptors, 74% of the cases had vaginal deliveries and 26% had cesarean deliveries. Continuation rates were relatively high, 87.6% and 76.3%, at 6 and 12 months, respectively, after postplacental insertion of IUD. In this study, the 1-year cumulative expulsion rate with TCu 380A device was 12.3%, which may be regarded as a standard expulsion rate for immediate postplacental insertion of similar models of IUDs. CONCLUSION: The evidence from this study suggests that immediate postplacental insertion of CuT 380 models is an effective, useful, safe, convenient and low-cost procedure for early postpartum contraception.
Authors: Ekwutosi M Okoroh; Debra J Kane; Rebekah E Gee; Lyn Kieltyka; Brittni N Frederiksen; Katharyn M Baca; Kristin M Rankin; David A Goodman; Charlan D Kroelinger; Wanda D Barfield Journal: Am J Obstet Gynecol Date: 2018-03-09 Impact factor: 8.661
Authors: Elizabeth P Gurney; Sarita Sonalkar; Arden McAllister; Mary D Sammel; Courtney A Schreiber Journal: Am J Obstet Gynecol Date: 2018-06-02 Impact factor: 8.661
Authors: Beatrice A Chen; Matthew F Reeves; Jennifer L Hayes; Heather L Hohmann; Lisa K Perriera; Mitchell D Creinin Journal: Obstet Gynecol Date: 2010-11 Impact factor: 7.661
Authors: Abigail R A Aiken; Mitchell D Creinin; Andrew M Kaunitz; Anita L Nelson; James Trussell Journal: Contraception Date: 2014-08-07 Impact factor: 3.375
Authors: Michelle H Moniz; Lee Roosevelt; Halley P Crissman; Emily K Kobernik; Vanessa K Dalton; Michele H Heisler; Lisa Kane Low Journal: J Midwifery Womens Health Date: 2017-09-07 Impact factor: 2.388