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Related Experiment Videos

Comparative IUD study: Lippes Loop D, Dalkon Shield and TCu-200.

M Medel, C Martinez, J E Morehead

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |January 1, 1978
    PubMed
    Summary
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    This study compared three intrauterine devices: Dalkon Shield, Lippes Loop D, and TCu-200. No significant differences were found between device types or insertion providers, highlighting the effectiveness of midwives in contraception.

    Area of Science:

    • Reproductive Health
    • Medical Devices
    • Contraception

    Background:

    • Intrauterine devices (IUDs) are a common form of reversible contraception.
    • Evaluating the clinical performance of different IUDs is crucial for patient care.
    • The role of healthcare providers in IUD insertion outcomes warrants investigation.

    Purpose of the Study:

    • To compare the clinical behavior of three IUDs: Dalkon Shield, Lippes Loop D, and TCu-200.
    • To assess differences in outcomes based on the type of IUD inserted.
    • To evaluate if physician versus midwife insertion impacts IUD performance.

    Main Methods:

    • A comparative study analyzing the clinical performance of Dalkon Shield, Lippes Loop D, and TCu-200.
    • Data collection on expulsion rates and pregnancy rates for each device.

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  • Analysis of insertion outcomes based on provider type (physicians vs. midwives).

    • Main Results:

    • No statistically significant differences in clinical behavior were observed among the Dalkon Shield, Lippes Loop D, and TCu-200.
    • The Dalkon Shield showed a trend towards lower expulsion rates and higher pregnancy rates.
    • Insertion outcomes were comparable whether performed by physicians or midwives.

    Conclusions:

    • The choice of IUD (Dalkon Shield, Lippes Loop D, TCu-200) did not significantly alter clinical outcomes.
    • Midwives demonstrated comparable efficiency to physicians in performing IUD insertions.
    • This supports the expanded role of paramedical personnel in providing intrauterine contraception.