Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births?
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 1
Abstract
Aim: To determine the difference between the postplacental insertion of intrauterine device (IUD) in women with vaginal and cesarean delivery. Methods: This study included 142 women who gave birth between 38 to 42 weeks of pregnancy. Group 1 had elective cesarean delivery (n=79) and, group 2 had vaginal delivery (n=63). IUD was placed in the uterine fundus within 10 minutes of placental delivery. The subjects were examined at the 1st week, 6th week, 6th month, 12th month postpartum. Age, gravida, parity, type of delivery, number of previous vaginal deliveries, and previous IUD use were evaluated. Results: Parity and maternal age were similar between the groups. The number of patients giving at least one vaginal delivery in group 1 was higher than in group 2 (p<0.01). The rate of IUD expulsion was similar between the groups. IUD expulsion occurred within the first six weeks in more than 50% of patients in both groups. Cumulative IUD removal rate was found to be 7.2%. Removal rates were similar between the groups (p>0.05). There was a 2.1-fold increase (95% confidence interval;1.03-4.37) in the risk of cumulative withdrawal one year after insertion in multiparous women. Conclusion: Postpartum IUD insertion may be promising as a safe and effective method of family planning. In spite of the fact that the expulsion rates were higher than in previous studies, the experience of the practitioners probably increased further. Parity is the most important risk factor for IUD expulsion, rather than the way of birth.
Authors and Affiliations
Lebriz Hale Aktün, Nilay Karaca, Yaşam Kemal Akpak
Keywords
Related Articles
- EP ID EP276588
- DOI 10.4274/haseki.93695
- Views 54
- Downloads 0
Congenital Transmesenteric Hernia Without Bowel Strangulation in a Young Adult
Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early sur...
Effect of Intraoperative Neuromonitoring on Voice Quality in Total Thyroidectomy
Aim: Thyroid gland surgery has a risk of serious complications. Advancements in technology have led to improvements in complications but significant challenges to preserving voice and airway function still remain. The pu...
Retroperitoneal Ancient Schwannoma
Schwannomas are benign peripheral nerve sheath tumors made up of Schwann cells. Ancient schwannoma is an uncommon subtype of schwannomas exhibiting areas of cystic cavitation, calcification and hyalinization. The “ancien...
Medical Results and Psychosocial Factors in Obesity Surgery
Aim: Obesity is one of the most important health problems of our age. It causes serious psycho-social problems as well as medical problems. We aimed to investigate the preoperative and postoperative medical and psycho-so...
Permanent Junctional Reciprocating Tachycardia-induced Dilated Cardiomyopathy: A Case Report
We present a four-year-old girl who was admitted to our hospital with the complaints of dyspnea, tachypnea, cough, excess sweating and fatigue. Electrocardiogram (ECG) in the tachycardic girl showed inverted P waves in l...