Study of Missing Strings of Intrauterine Contraceptive Devices
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 3
Abstract
Introduction: Intrauterine Contraceptive device is an effective, safe and convenient method of contraception used worldwide. It may have complications like missing threads, abnormal uterine bleeding, perforation and migration to neighbouring structures. The device has nylon thread attached to its lower end and this thread protrudes through cervical canal into vagina. Missing strings of IUCD is a common complaint, among IUCD Users with, possibilities of spontaneous expulsion or it could be intrauterine, Partially embedded in the myometrium or trans migration to extra uterine structure. With the invent of hysterolaparoscopy missing strings of IUCD can we managed easily. Objectives: To analyze the factors associated with the missing strings of IUCDs’. To review the management of missing strings of IUCD Materials and Methods: This is a Prospective observational study conducted in the department of OBG at Oxford Medical College, Hospital and Research Centre, Yadavanahalli, Bangalore, from Jan 2017–2018. Results: In our study there were 46 cases of missing strings of IUCD found over a period of 1 year, with a common type being Cu T 380A and multi load. Out of 46 cases 78% of cases IUCD was Inserted by lady health worker/PHC doctor. Majority of the patients had a time interval of 2-5 years between the insertion and removal of IUCD. 80% of the cases (37 patients) IUCD was intrauterine, 10% of cases (5 patients) it was partially embedded in the myometrium and only 6.5% cases (3 patients) IUCD was situated extra uterine sites. Missing IUCD was removed easily with simple artery forceps/IUCD hook in 28 cases (60%), 14 cases required hysteroscopy and 3 cases laparoscopy was needed for the retrieval. Conclusion: Hence, IUCDs is a safe and cost effective method of contraception in the developing countries. Proper education and counseling of the beneficiaries regarding the regular follow up is required for early removal of misplaced IUCD. Institutional training of the family planning personnel is necessary for proper insertion to avoid complications. Hysteroscopy guided retrieval of the misplaced IUCD is the Gold Standard.
Authors and Affiliations
Manjula HM
Keywords
Related Articles
- EP ID EP642936
- DOI 10.21088/ijog.2321.1636.7319.7
- Views 94
- Downloads 0
The Prevalence of Symptomatic & Asymptomatic Bacterial Vaginosis and Its Treatment in Managing Preterm and Threatened Preterm Deliveries
Background: 8-10% pregnancies end in preterm labour or threatened preterm labour which has maternal and foetal complications just due to infections such as bacterial vaginosis, which can be identified by simple tests lik...
Efficacy of Stair Step Protocol of Clomiphene Citrate in PCOS
Objective: To evaluate the effectiveness of extended clomiphene citrate therapy in the women who failed to ovulate despite of traditional regimen of clomiphene citrate. Study Design : It is a prospective study done on 25...
Study on Prevalence of Hypothyroidism in Pregnancy and its Maternal and Fetal Outcome
Background: Thyroid disorder is second most common cause of endocrine disorder in women of child bearing age. Pregnant women with hypothyroidism have a greater risk of early and late obstetric complications such as misca...
Transvaginal Ultrasound Measurement of Endometrial Thickness as a Biomarker of Oestrogen Level and Its Validity in Diagnosing Endometrial Cancer among Postmenopausal Women with Bleeding
Background: Transvaginal ultrasound is a noninvasive diagnostic tool commonly used to evaluate women with postmenopausal uterine bleeding. The ultrasound examination for endometrial pathology includes a measurement of en...
Neonatal Outcomes in Women with Isolated Oligohydramnios
Introduction: Oligohydramnios is a serious complication of pregnancy that is associated with a poor perinatal outcome. Isolated oligohydramnios at term is defined as AFI <5 cm without any maternal or fetal cause. Inciden...