Yousef Mohamed Abdelzaher Ali
Asst. Professor
Post Placental Insertion of Different Types of Intrauterine Device During Cesarean Section versus Delayed Intrauterine Device Insertion in Sharkia Governorate
Benha Medical Journal • 2024
Publication Information
Authors
Waleed M. Tawfik, Amal E. Ebrahiem, Mahmoud R. Fayed, Youssef A. Zaher
Keywords
Post Placental Insertion; Intrauterine Device; Cesarean Section
Journal
Benha Medical Journal
Publisher
Benha University, Faculty of Medicine
Volume
41
Issue
4
Pages
66-75
publication.type
Local
Paper Link
Open Link
Supplementary Materials
Not Available
Abstract
Background: An intrauterine device (IUD) is a small, often Tshaped birth control device that is inserted into the uterus to
prevent pregnancy. IUDs are one form of long-acting reversible
birth control (LARC). This study's objective was to compare
between post placental insertions of different types of IUD
(PPIUD) during cesarean section versus delayed IUD (DIUD)
insertion. Methods: This prospective interventional study was
conducted on 300 women who delivered via uncomplicated
cesarean section and seeking IUD contraception. Patients were
divided into two equal groups: PPIUD group: women received
post placental insertion of different types of IUD (50 received
copper T, 50 received Nova T, and 50 received multiload). DIUD
Group: women received delayed insertion of different types of
IUD (50 received copper T, 50 received Nova T, and 50 received
multiload). Results: At 12 months follow-up there was no
statistically significant difference between the 2 groups as
regards complications. As regards satisfaction rates, 129 were
satisfied with the IUD in the DIUD group, and 118 were satisfied
with the IUD in PPIUD, and this difference was not statistically
significant (p >0.05). Prevalence of outcomes according to type
of device in patients in DIUD group, data was insignificant in all
outcomes except bleeding. Conclusions: Post-placental insertion
of IUD during a cesarean section appears to be a more effective
and convenient method of contraception compared to delayed insertion of an IUD. This study
showed that post-placental IUD insertion is associated with lower rates of expulsion, thread
visibility and menorrhagia compared to delayed insertion.
prevent pregnancy. IUDs are one form of long-acting reversible
birth control (LARC). This study's objective was to compare
between post placental insertions of different types of IUD
(PPIUD) during cesarean section versus delayed IUD (DIUD)
insertion. Methods: This prospective interventional study was
conducted on 300 women who delivered via uncomplicated
cesarean section and seeking IUD contraception. Patients were
divided into two equal groups: PPIUD group: women received
post placental insertion of different types of IUD (50 received
copper T, 50 received Nova T, and 50 received multiload). DIUD
Group: women received delayed insertion of different types of
IUD (50 received copper T, 50 received Nova T, and 50 received
multiload). Results: At 12 months follow-up there was no
statistically significant difference between the 2 groups as
regards complications. As regards satisfaction rates, 129 were
satisfied with the IUD in the DIUD group, and 118 were satisfied
with the IUD in PPIUD, and this difference was not statistically
significant (p >0.05). Prevalence of outcomes according to type
of device in patients in DIUD group, data was insignificant in all
outcomes except bleeding. Conclusions: Post-placental insertion
of IUD during a cesarean section appears to be a more effective
and convenient method of contraception compared to delayed insertion of an IUD. This study
showed that post-placental IUD insertion is associated with lower rates of expulsion, thread
visibility and menorrhagia compared to delayed insertion.