[Random comparative study between intrauterine device Multiload Cu375 and TCu 380a inserted in the postpartum period]

Area of Science:

• Reproductive Health
• Contraception
• Medical Devices

Background:

• Postpartum insertion of intrauterine devices (IUDs) offers a convenient contraceptive option.
• Comparing the safety and effectiveness of different IUD models is crucial for clinical decision-making.

Purpose of the Study:

• To evaluate and compare the safety and effectiveness of the Multiload Cu375 (MLCu 375) and TCu 380A intrauterine devices when inserted during the postpartum period.

Main Methods:

• A randomized comparative study involving 157 patients who received either an MLCu 375 or TCu 380A IUD.
• IUDs were inserted at various postpartum timings: within 10 minutes after vaginal delivery, during cesarean section, or 10-48 hours postpartum.
• Ultrasound assessments and 12-month follow-up visits were conducted to evaluate IUD position, expulsion, removal, and continuation rates.

Main Results:

• One-year expulsion rates were 10.4% for MLCu 375 and 7.7% for TCu 380A, with no significant influence from insertion timing or IUD position.
• Removal rates for bleeding and pain were similar between groups (4.9% and 4.8%).
• Continuation rates at one year were 77.1% for MLCu 375 and 82.6% for TCu 380A, with no statistically significant differences observed.

Conclusions:

• The Multiload Cu375 intrauterine device demonstrates comparable safety and effectiveness to the TCu 380A when inserted postpartum.
• Both IUD models are suitable options for postpartum contraception, with similar expulsion, removal, and continuation rates.