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Related Experiment Videos

IUD insertion during cesarean section.

H Van Kets, M Thiery, H Van der Pas

    Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
    |December 1, 1985
    PubMed
    Summary
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    Intrauterine device (IUD) insertion during cesarean delivery is safe and effective. This study found zero pregnancies and low expulsion rates at 12 months, supporting its wider use.

    Area of Science:

    • Obstetrics and Gynecology
    • Reproductive Health
    • Family Planning

    Background:

    • Cesarean delivery is a common obstetric procedure.
    • Postpartum contraception is crucial for managing birth spacing and unintended pregnancies.
    • Intrauterine devices (IUDs) are highly effective, long-acting reversible contraceptives.

    Purpose of the Study:

    • To evaluate the safety and efficacy of TCu220C IUD insertion during low-transverse cesarean section.
    • To assess puerperal morbidity, lactation, and complication rates.
    • To determine pregnancy and expulsion rates at 12 months post-insertion.

    Main Methods:

    • A prospective study involving 82 women undergoing low-transverse cesarean section.
    • TCu220C IUD insertion immediately following delivery.

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  • Monitoring for puerperal morbidity, lactation effects, and complications.
  • Follow-up at 12 months to assess pregnancy and expulsion rates.
  • Main Results:

    • No adverse effects on puerperal morbidity or lactation were observed.
    • No serious complications were reported during the study period.
    • At 12 months, the pregnancy rate was 0%, and the expulsion rate was 7.7%.
    • The expulsion rate is comparable to immediate postplacental insertion of the same IUD model.

    Conclusions:

    • Intra-IUD insertion during cesarean delivery is a safe and effective contraceptive method.
    • This procedure does not negatively impact postpartum recovery or breastfeeding.
    • The findings support the promotion of intracesarean IUD insertion as a viable postpartum contraception option.