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Related Experiment Videos

Immediate postpartum insertion of a sutured Lippes Loop.

I Kamal, R Ezzat, S Zaki

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |July 1, 1980
    PubMed
    Summary

    Immediate postpartum insertion of the sutured Lippes Loop intrauterine device (IUD) showed low expulsion and complication rates. Manual insertion effectively overcame common IUD challenges, offering a safe postpartum contraception option.

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    Area of Science:

    • Reproductive Health
    • Obstetrics and Gynecology
    • Contraception

    Background:

    • Intrauterine devices (IUDs) are effective reversible contraceptives.
    • Immediate postpartum insertion of IUDs can improve contraceptive continuation.
    • High expulsion rates and perforation are significant challenges with postpartum IUD insertion.

    Purpose of the Study:

    • To evaluate the safety and efficacy of the sutured Lippes Loop for immediate postpartum insertion.
    • To assess complication rates, including expulsion, infection, and bleeding, with this method.

    Main Methods:

    • 100 volunteers received a sutured Lippes Loop IUD immediately after placental delivery.
    • Manual insertion technique was employed.
    • Follow-up at three months assessed expulsion, infection, bleeding, and pregnancy.

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    Main Results:

    • An expulsion rate of 1.2 per 100 women was observed at three months.
    • One case of infection and one removal due to bleeding were reported.
    • One pregnancy occurred, associated with IUD expulsion.

    Conclusions:

    • Manual insertion of the sutured Lippes Loop immediately postpartum effectively overcomes common IUD challenges like high expulsion and perforation.
    • This method demonstrates a favorable safety and efficacy profile for postpartum contraception.
    • Further research may support wider adoption of this technique.