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IUD Insertion During Cesarean Section

Insertion of Intrauterine Contraceptive Device During Cesarean Section: Randomized Clinical Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03492034
Enrollment
200
Registered
2018-04-10
Start date
2018-04-01
Completion date
2019-12-20
Last updated
2020-05-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Contraception

Brief summary

Insertion of Intrauterine Contraceptive Device during Cesarean Section: Randomized Clinical Trial

Interventions

DEVICEIUD during CS

IUD insertion during CS

DEVICEIUD after puerperium

IUD after puerperium

Sponsors

Ain Shams University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

1. Pregnant woman aged between 18 to 40 years old. 2. Scheduled for elective cesarean section at gestational age between 37 to 42 weeks. 3. Body mass index between 19-30 kg/m2 4. Seeking contraception after delivery.

Exclusion criteria

1. History of menorrhagia or severe dysmenorrhea. 2. History of pelvic inflammatory disease or current pelvic infection (ex: puerperal sepsis, purulent cervicitis). 3. Patients who have bleeding disorders. 4. Anemia (Hb \< 9 g %). 5. Chronic depilating diseases reducing immunity such as Diabetes. 6. Structural uterine anomaly or large uterine fibroids distorting anatomy. 7. History of previous IUD expulsion or removal for complications. 8. Unexplained uterine bleeding. 9. Copper allergy or Wilson disease. 10. Gestational trophoblastic disease with persistently elevated Beta HCG. 11. Predisposing factor to postoperative infection (e.g. rupture of membranes prior to admission or delivery of a stillborn baby at cesarean section). 12. Complications during cesarean section e.g. postpartum hemorrhage. 13. Cesarean section during placenta previa.

Design outcomes

Primary

MeasureTime frame
IUD expulsion rate6 weeks

Secondary

MeasureTime frameDescription
Bleeding6 weeksnumber of pads changed per day
Degree of Pain6 weeksVisual Analogue Scale from 1 to10 (0 being no pain and 10 maximum pain tolerated)
dyspareunia6 weeksVisual Analogue Scale from 0 to10 (0 being no pain and 10 maximum pain tolerated)
patient satisfaction6 weeksVisual Analogue Scale from 0 to10 (0 being maximum dis-satisfaction and 10 maximum satisfaction)

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026