| Literature DB >> 6378687 |
P K Heinonen, M Merikari, J Paavonen.
Abstract
Sixteen cases with uterine perforation by a copper intrauterine device (IUD) are presented. In 13 cases the IUD had been inserted within 5 months following delivery, and in 6 cases the insertion had been painful. Missing string was the first sign in most cases. Laparatomy was performed in all cases to remove the IUD. The IUD was adherent to omentum or sigmoid in 10 cases. There is an increased risk of uterine perforation if the IUD is inserted postpartum during lactation and involution of the uterus. Therefore a painful IUD insertion and a missing string demand investigation of a partial or complete perforation.Entities:
Keywords: Biology; Contraception--complications; Contraceptive Methods--complications; Diseases; Europe; Examinations And Diagnoses; Family Planning; Finland; Genital Effects, Female; Genitalia; Genitalia, Female; Insertion; Iud, Copper Releasing--complications; Iud--complications; Northern Europe; Pain; Perforations; Physical Examinations And Diagnoses; Physiology; Postpartum Women; Puerperium; Reproduction; Scandinavia; Signs And Symptoms; Treatment; Urogenital Effects; Urogenital System; Uterine Effects; Uterine Perforation; Uterus
Mesh：
Year: 1984 PMID： 6378687 DOI： 10.1016/0028-2243(84)90068-6
Source DB: PubMed Journal: Eur J Obstet Gynecol Reprod Biol ISSN： 0301-2115 Impact factor: 2.435