Post-placental Intrauterine Device Insertion During Cesarean Section

Assiut University

Status: Completed

Conditions: Intrauterine Device Migration

Treatments: Procedure: Suture; Procedure: Intrauterine device insertion; Procedure: Cesarean section

Study type: Interventional

Funder types: Other

Identifiers

NCT03780985

IUD-Zahraa

Details and patient eligibility

About

Effective, reversible postpartum contraception decreases the chance of rapid repeat pregnancy and poor perinatal outcome in a subsequent pregnancy especially in women delivered by cesarean section.The traditional 6-week postpartum visits not evidenced based and may not meet patient needs, particularly with respect to provision of contraception.Intrauterine device placement after delivery of the placenta is an appealing strategy for increasing access to postpartum Intrauterine device because it does not require a separate postpartum visit.

Advantage of post-placental Intrauterine device insertion, Intrauterine devices are recommended as first-line contraceptives by the American Academy of Pediatricians. The Centers for Disease Control and Prevention united state . Medical Eligibility Criteria for Contraceptive Use places no restrictions on use, and states advantages generally outweigh the risks for immediate postpartum use of Intrauterine devices.

Enrollment: 118 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age group : 18-40 years
2. Women who will be willing to undergo elective cesarean section
3. women desire using Copper IUD as long acting contraceptive method.

Exclusion criteria

1. Intrauterine infection.
2. Fundal Myoma.
3. Hemorrhagic disorder
4. Genital tract malignancy
5. Uterine atony
6. Sexually transmitted infection.

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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118 participants in 2 patient groups

intrauterine device insertion with a suture fixation

Active Comparator group

Description:

Intruterine device through hysterotomy incision during cesarean section with a suture fixation

Treatment:

Procedure: Intrauterine device insertion

Procedure: Suture

Procedure: Cesarean section

intrauterine device insertion without a suture fixation

Active Comparator group

Description:

IUD through hysterotomy incision during cesarean section without a suture fixation

Treatment:

Procedure: Intrauterine device insertion

Procedure: Cesarean section