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Clinical experience with the GYNE-T 380 postpartum intrauterine device.

H Van Kets1, J Kleinhout, M Osler

  • 1University of Ghent, Belgium.

Fertility and Sterility
|June 1, 1991
PubMed
Summary

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This summary is machine-generated.

A modified intrauterine device (IUD) designed for postpartum insertion demonstrated a low expulsion rate and no pregnancies in its first year. This innovative postpartum IUD shows promise for long-term contraception.

Area of Science:

  • Reproductive Medicine
  • Contraception Technology
  • Obstetrics

Background:

  • Conventional intrauterine devices (IUDs) inserted within the first 10 days postpartum have high expulsion rates.
  • Postpartum IUD insertion presents unique challenges for device retention.

Purpose of the Study:

  • To evaluate the safety and efficacy of a modified GYNE-T 380 intrauterine device (IUD) for postpartum insertion.
  • To assess the expulsion and pregnancy rates of a novel postpartum IUD.

Main Methods:

  • A modified GYNE-T 380 IUD, featuring a biodegradable catgut loop for myometrial embedding, was developed.
  • A phase II clinical trial involved 190 women receiving the modified IUD postpartum using a specialized inserter.

Main Results:

Keywords:
AmericasBelgiumClinical ResearchContraceptionContraception ContinuationContraception TerminationContraceptive EffectivenessContraceptive MethodsContraceptive UsageDemographic AnalysisDenmarkDeveloped CountriesDeveloping CountriesEuropeEvaluationFamily PlanningFollow-up StudiesInsertionIudIud, Copper ReleasingLatin AmericaLife Table MethodMethod AcceptabilityNetherlandsNorthern EuropePostpartum WomenPuerperiumReproductionResearch MethodologyRisk AssessmentScandinaviaSouth AmericaStudiesTreatmentVenezuelaWestern Europe

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  • No pregnancies occurred during the first year of use.
  • The continuation rate was 74 per 100 women.
  • Life table expulsion rates were 9.6% at 6 months and 13.3% at 12 months.

Conclusions:

  • The modified postpartum IUD demonstrated minimal complications and promising retention rates.
  • Further large-scale trials are warranted to confirm the efficacy of this innovative postpartum contraceptive device.