Contraception
Conditions
Keywords
Long Acting Reversible Contraception, Intrauterine Device (IUD), Intrauterine Device (IUD) Insertion, Family Planning, International Family Planning
Brief summary
This is a randomized controlled trial that compares traditional IUD insertion with that of a no uterine sound, no bimanual pelvic exam approach. The investigators hypothesis is that IUD placement is safe and effective without pre-procedural assessment of uterine size, direction, or depth.
Interventions
IUD Insertion with no bimanual pelvic exam or uterine sounding.
Sponsors
Study design
Eligibility
Inclusion criteria
* Women 18 years and older presenting to contraceptive clinic in Gaborone, Botswana for IUD insertion and have ability to give informed consent.
Exclusion criteria
* Known contradictions to copper IUD, inability to comply with study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correct IUD Placement Immediately Post-Insertion | Immediately post-insertion | Percent of correct IUD placements between control (traditional IUD insertion) and experimental (simplified IUD insertion) groups at time of insertion as visualized by transvaginal ultrasound. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correct IUD Placements 4-6 Weeks Post-Insertion | 4-6 weeks post-insertion | Percent of correct IUD placements between control (traditional IUD insertion) and experimental (simplified IUD insertion) groups at 4-6 weeks after insertion as visualized by transvaginal ultrasound. |
| Patient Satisfaction with IUD Insertion | Immediately Post-Insertion | Visual Analogue Scale (VAS) |
| Patient Pain Scores (VAS) | Immediately Post-Insertion | Visual Analogue Scale (VAS) |