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Two-Dimensional Sonographic-Guided Versus Non-Guided Copper T IUD Insertion
Ibrahim A Albahlol1, Ahmed Baker A Alshaikh2, Fawaz E Edris3
1Department of Obstetrics and Gynecology, College of Medicine, Jouf University, Sakaka, Kingdom of Saudi Arabia; Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Intrauterine devices (IUDs) are a popular and effective form of contraception. This study assessed the benefit of two-dimensional (2D) ultrasound-guided copper T IUD insertion. It involved 100 eligible clients in 2 groups, 50 each. The first group had IUDs insertion blindly, and the second had real-time 2D ultrasound-guided insertion. Perfect insertion showed a significant difference (P = 0.002) between the 2 groups. Misplacement showed a non-significant difference. Cervical displacement and reinsertion showed a difference (P = 0.056). Using 2D ultrasound during IUD insertion gives better outcomes and decreases the failure rate. Ultrasound improves client satisfaction, with a subsequent increased rate of use and contraceptive efficacy.
Intrauterine devices (IUDs) are a popular and effective form of contraception. This study assessed the benefit of two-dimensional (2D) ultrasound-guided copper T IUD insertion. It involved 100 eligible clients in 2 groups, 50 each. The first group had IUDs insertion blindly, and the second had real-time 2D ultrasound-guided insertion. Perfect insertion showed a significant difference (P = 0.002) between the 2 groups. Misplacement showed a non-significant difference. Cervical displacement and reinsertion showed a difference (P = 0.056). Using 2D ultrasound during IUD insertion gives better outcomes and decreases the failure rate. Ultrasound improves client satisfaction, with a subsequent increased rate of use and contraceptive efficacy.
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