Contraception Pregnancy and Childbirth Contraceptive management
Conditions
Interventions
Insertion of Mirena either at the time of elective caesarean section or at the usual time of 6 weeks postpartum with follow up until 6 months postpartum
Sponsors
Mackay District of Queensland Health (Australia)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women having an elective caesarean section, who choose to use Mirena for contraception
Exclusion criteria
Exclusion criteria: 1. Suspected uterine infection 2. Uterine malformation 3. Cervical dysplasia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expulsion of Mirena For the group having Mirena inserted at the time of caesarean section, all outcomes will be measured 6 weeks, 3 months and 6 months after delivery. For the group who have the Mirena inserted 6 weeks after delivery, primary and secondary outcomes will be measured 3 months and 6 months after delivery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Breastfeeding rates and breastfeeding difficulties 2. Babies? weight gain 3. Vaginal bleeding 4. Pelvic infection 5. Strings not visible 6. Uterine perforation 7. Malposition of the device within the cavity 8. Ovarian cysts 9. Pregnancy 10. Patient satisfaction Data for most variables above will be categorical (yes or no). Infant weight gain (g) and estimated number of days vaginal bleeding in the past month will be numeric. Patient satisfaction will be rated 1-5, from very poor to excellent. For the group having Mirena inserted at the time of caesarean section, all outcomes will be measured 6 weeks, 3 months and 6 months after delivery. For the group who have the Mirena inserted 6 weeks after delivery, primary and secondary outcomes will be measured 3 months and 6 months after delivery. | — |
Countries
Australia
Outcome results
None listed