Related Experiment Videos
324 cases of misplaced IUCD--a 5-year study
Meenakshi Barsaul1, Neeraj Sharma, Krishna Sangwan
1Department of Obstetrics & Gynaecology, Pt BD Sharma PGIMS, Rohtak-124001, Haryana, India.
Tropical Doctor
|February 6, 2003
Summary
Misplaced intrauterine contraceptive devices (IUCDs) can cause complications. Laparoscopic retrieval is effective for displaced IUCDs, highlighting the need for trained staff and regular follow-ups for safe family planning.
Area of Science:
- Reproductive Health
- Medical Devices
- Surgical Procedures
Background:
- Intrauterine contraceptive devices (IUCDs), particularly Copper-T, are widely used in developing nations for family planning.
- Potential complications include bleeding, perforation, and migration to adjacent organs.
- Misplaced IUCDs can lead to pregnancy, lost strings, or asymptomatic presentations.
Purpose of the Study:
- To analyze the incidence and outcomes of misplaced IUCDs in a series of cases.
- To evaluate the effectiveness of laparoscopic retrieval for translocated IUCDs.
- To identify factors contributing to IUCD malposition and recommend improvements in service delivery.
Main Methods:
- Retrospective review of 324 cases involving misplaced IUCDs.
- Categorization of IUCD locations: uterine cavity, cervical canal, and translocated.
- Assessment of laparoscopic retrieval success rates for translocated devices.
Main Results:
- Most misplaced IUCDs (79.93%) remained within the uterine cavity; 14.51% were in the cervical canal.
- A small percentage (5.56%) were translocated, with a higher proportion (66.67%) inserted at primary health centers.
- Laparoscopic retrieval achieved a 61.11% success rate for translocated IUCDs.
Conclusions:
- Endoscopic procedures are valuable for localizing and retrieving misplaced IUCDs.
- Regular follow-up for visible IUCD threads aids early detection of malposition.
- Enhanced training for paramedical staff is crucial for safe and effective family planning services in developing countries.