Immediate postplacental insertion of a copper intrauterine device: a pilot study to evaluate expulsion rate by mode of delivery

BMC Pregnancy and Childbirth
Ayhan SucakNuri Danışman

Abstract

The present study aimed to investigate risk factors for expulsion in immediate postplacental IUD insertion. We specifically sought to determine whether cesarean delivery before or during labor have an impact on IUD expulsion. The study included 160 pregnant women for immediate IUD insertion following vaginal or cesarean delivery. Three groups of patients were recruited: Patients who underwent pre-planned cesarean delivery (group 1, n: 51), patients who underwent cesarean delivery during active labor (group 2, n: 47), patients who delivered vaginally (group 3, n: 62). The cumulative expulsion rates were similar with a frequency of 8.7, 8.9 and 11.3% respectively in groups 1 to 3 (p > 0.05 in all pairwise comparisons). The rate of patients who had the IUD removed at 12th month was 4,3, 6.7 and 11.3% for groups 1, 2 and 3 respectively (p > 0.05 in all pairwise comparisons). Multiparity increased the risk of cumulative expulsion within 12 months by 2.1 fold (95% 1,03-4,37) in the logistic regression model. Previous vaginal deliveries or IUD use did not have an impact on the expulsion of the IUD. The risk of spontaneous expulsion was similar in patients whose IUD was placed after cesarean in the active and latent phase or after spon...Continue Reading

References

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Citations

May 22, 2016·The Journal of Family Planning and Reproductive Health Care·Rupali DewanMansi Kaim
Sep 19, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Projestine S MuganyiziAnita Makins
Sep 12, 2018·Obstetrics and Gynecology·Tara C JatlaouiKathryn M Curtis
Jan 6, 2021·Contraception and Reproductive Medicine·Projestine Selestine MuganyiziAnita Makins
Jun 30, 2021·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Clarisse Uchoa de AlbuquerqueRaquel Autran Coelho Peixoto
Jun 22, 2021·Journal of Obstetrics and Gynaecology of India·Elsayed ElshamyDalia Ibrrahim
Nov 22, 2021·American Journal of Obstetrics and Gynecology·Alison C FitzgeraldKate A Shaw

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Methods Mentioned

BETA
contraception

Software Mentioned

SPSS
Power

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