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The LEM device in an immediate postpartum contraception program.

R Apelo, R Ramos, M Thomas

    Fertility and Sterility
    |May 1, 1976
    PubMed
    Summary
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    The study evaluated the LEM intrauterine device (IUD) for immediate postpartum insertion. While early expulsion rates were high, the device showed minimal removals for side effects and higher pregnancy rates in later use.

    Area of Science:

    • Reproductive Health
    • Family Planning
    • Medical Devices

    Background:

    • Immediate postpartum insertion of intrauterine devices (IUDs) is a key strategy for preventing unintended pregnancies.
    • The LEM IUD is a specific type of IUD used in postpartum family planning programs.

    Purpose of the Study:

    • To report on the experience and effectiveness of the LEM IUD when inserted immediately after normal term deliveries.
    • To assess the early expulsion, removal rates, and pregnancy rates associated with postpartum LEM IUD insertion.

    Main Methods:

    • A prospective study involving 1359 women who received a LEM IUD immediately after vaginal delivery.
    • Data collection focused on early expulsion, reasons for removal (bleeding, pain), and pregnancy rates during the second six months of IUD use.
    Keywords:
    Acceptor CharacteristicsAcceptorsClinical ResearchContraceptionContraception FailureContraception TerminationContraceptive MethodsContraceptive UsageEvaluationFamily PlanningFamily Planning ProgramsIudPuerperiumReproductionResearch MethodologyUse-effectiveness

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    Main Results:

    • A high rate of early expulsion was observed for the LEM IUD.
    • Minimal instances of IUD removal due to bleeding or pain were reported.
    • Pregnancy rates during the second six months of use were higher compared to previous studies of postpartum IUD insertions.

    Conclusions:

    • The LEM IUD, when inserted immediately postpartum, presents a high early expulsion rate.
    • Despite high expulsion, the device is generally well-tolerated, with low removal rates for adverse effects.
    • Further research may be needed to optimize insertion techniques or device design to mitigate expulsion and improve long-term contraceptive efficacy in postpartum settings.