[Trancesarean intra-uterine device. Pilot study performed at Dakar teaching hospital]
M Gueye1, Y F O Gaye, A A Diouf
1Service de gynécologie-obstétrique, centre hospitalier national de Pikine, sis ex-Camp de Thiaroye, BP 20630, Dakar, Sénégal; Clinique gynécologique et obstétricale, 1, avenue Pasteur, BP 3001, Dakar, Sénégal.
Objectives:
To demonstrate the feasibility of copper IUD insertion following cesarean deliveries and assess its safety.
Patients And Methods:
This is a prospective pilot study at Pikine national hospital from February 15 to November 15, 2012. Were evaluated the efficacy, incidence and spectrum of complications and continuation rates.
Results:
Fifty-nine subjects were enrolled and 46 received an IUD. The average age of patients was 28 years. No patient had previously used IUDs. Forty-four patients (97.5%) were returned to the first follow-up visit at the first month, 41 patients (89.1%) at the second visit and 39 patients (86.9%) at the third visit. The rate of lost sight was 8.7%. Pain and bleeding were reported rarely: 2.3% at the first month, 4.9% at the third month and 7.7% at the sixth month for the bleeding and 6.8% at the first month, 2.4% at the third month and 2% at the sixth month for pain. The rate of expulsion was 2.2%.
Conclusion:
The insertion of the IUD following cesarean delivery has an acceptable rate of expulsion and no increased rate of adverse effects. This technique should be popularized.
