Intrauterine Device Migration
Conditions
Brief summary
Effective, reversible postpartum contraception decreases the chance of rapid repeat pregnancy and poor perinatal outcome in a subsequent pregnancy especially in women delivered by cesarean section.The traditional 6-week postpartum visits not evidenced based and may not meet patient needs, particularly with respect to provision of contraception.Intrauterine device placement after delivery of the placenta is an appealing strategy for increasing access to postpartum Intrauterine device because it does not require a separate postpartum visit. Advantage of post-placental Intrauterine device insertion, Intrauterine devices are recommended as first-line contraceptives by the American Academy of Pediatricians. The Centers for Disease Control and Prevention united state . Medical Eligibility Criteria for Contraceptive Use places no restrictions on use, and states advantages generally outweigh the risks for immediate postpartum use of Intrauterine devices.
Interventions
PROCEDUREIntrauterine device insertion
Post-placental insertion of intrauterine device during Cesarean section
PROCEDURECesarean section
to delivery of the fetus
PROCEDURESuture
to fix the intrauterine device
Sponsors
Assiut University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age group : 18-40 years 2. Women who will be willing to undergo elective cesarean section 3. women desire using Copper IUD as long acting contraceptive method.
Exclusion criteria
1. Intrauterine infection. 2. Fundal Myoma. 3. Hemorrhagic disorder 4. Genital tract malignancy 5. Uterine atony 6. Sexually transmitted infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of displaced intrauterine device after insertion in both groups | 2 weeks |
Countries
Egypt
Outcome results
None listed