Immediate postplacental insertion of GYNE-T 380 and GYNE-T 380 postpartum intrauterine contraceptive devices:...

Area of Science:

• Reproductive Health
• Contraception
• Obstetrics

Background:

• Immediate postpartum insertion of intrauterine devices (IUDs) is a strategy to improve contraceptive continuation.
• Comparing standard IUDs with those specifically designed for postpartum insertion is crucial for optimizing postpartum care.

Purpose of the Study:

• To compare the 1-year expulsion and efficacy rates of the GYNE-T 380 and GYNE-T 380 Postpartum IUDs.
• To evaluate IUDs inserted within 10 minutes after placental expulsion during term pregnancy.

Main Methods:

• A multicenter, randomized trial involving 592 subjects.
• Subjects received either the GYNE-T 380 IUD (n=300) or the GYNE-T 380 Postpartum IUD (n=292).
• Follow-up was conducted over 1 year to assess expulsion and pregnancy rates.

Main Results:

• The gross cumulative 1-year expulsion rates were 13.2% for GYNE-T 380 and 16.2% for GYNE-T 380 Postpartum.
• No significant difference in expulsion rates was observed between the two devices.
• Continuation rates for both devices exceeded 80%, with one first-year pregnancy in the GYNE-T 380 group.

Conclusions:

• Both the GYNE-T 380 Postpartum and standard GYNE-T 380 IUDs are safe and effective.
• Immediate postpartum insertion following placental delivery is a viable option for both devices.