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Interval insertion of an intrauterine contraceptive device following cesarean section
G A Holloway1, N D Goldstuck, D Bowen
1Department of Obstetrics and Gynaecology, Baragwanath Hospital, Johannesburg, South Africa.
Abstract:
Two previous studies of interval insertion of intrauterine contraceptive devices (IUCD) in women with previous cesarean delivery produced conflicting results. We studied the first and subsequent segment IUCD performance in 215 women with one or more cesarean deliveries. All the insertions were performed by doctors in the outpatient department of the hospital. The follow-up rate at 6 months was over 80%. There was a higher than expected expulsion rate of 19 per 100 insertions in the first 12 months, in both the first and subsequent segments. Other IUCD related problems were in keeping with expectations. The IUCD nonetheless remains a useful contraceptive option for these women.