Contraception
Conditions
Brief summary
Insertion of Intrauterine Contraceptive Device during Cesarean Section: Randomized Clinical Trial
Interventions
IUD insertion during CS
IUD after puerperium
Sponsors
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| IUD expulsion rate | 6 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding | 6 weeks | number of pads changed per day |
| Degree of Pain | 6 weeks | Visual Analogue Scale from 1 to10 (0 being no pain and 10 maximum pain tolerated) |
| dyspareunia | 6 weeks | Visual Analogue Scale from 0 to10 (0 being no pain and 10 maximum pain tolerated) |
| patient satisfaction | 6 weeks | Visual Analogue Scale from 0 to10 (0 being maximum dis-satisfaction and 10 maximum satisfaction) |
Countries
Egypt