Insertion of intrauterine devices after cesarean section: a systematic review update

Goldstuck, Norman D; Steyn, Petrus S.

doi:10.2147/ijwh.s132391

Cited by 32 publications

(39 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Involution of the uterus makes IUCD strings to descend and are visible vaginally. 8 The IUCD string is used to locate the device in utero and to remove the device. Lost strings occurs due to expulsion, curling and in-drawing into the uterine cavity, embedding, breaking of the strings, uterine perforation and translocation into abdominal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…2 IUCDs have a rapid onset of action after insertion with a rapid return to fertility after discontinuation. 8 Recognizing the potential impact of improved family planning programming on maternal and child health, Government of India is committed to expanding access to family planning towards achieving Millennium Development Goals 4 and 5. 9 Hence postpartum intrauterine contraceptive device (PPIUCD) use is being encouraged.…”

mentioning

confidence: 99%

See 1 more Smart Citation

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Gillella¹,

Kothapally²,

Bhashyakarla³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

INTRODUCTIONProviding quality contraceptive services to women is essential for achieving maternal and child health. Unwanted and untimed pregnancies result in adverse outcomes for mother and child. Short birth intervals are associated with adverse perinatal and maternal outcomes. 27% of births occur within 24 months after a previous birth and 34% occur between 24 and 35 months. 1More than 50% of non-breastfeeding women ovulate and more than 50% are sexually active by 6 weeks postpartum. 2 In India, 65% of women have an unmet need for family planning in the first year postpartum. 3 ABSTRACT Background: Providing quality contraceptive services to women is essential for achieving maternal and child health. Objective of this study was to evaluate the efficacy of intra-caesarean insertion of copper IUCDs as postpartum contraception. To study the side effects of intra caesarean copper device. To study the continuation rates of intracaesarean copper IUCDs. To study the acceptability of intra-caesarean copper IUCD as immediate postpartum contraceptive. Methods: The prospective study was undertaken at Bhaskar medical college and general hospital, Yenkepally, Moinabad, Telangana, between January 2016 and March 2018 after ethical committee clearance. About 60 pregnant women were enrolled into the study after an informed written consent regarding the procedure, benefits and complications and the need for follow up for at least one year. Copper T 380A/multiload copper 375 was inserted into the uterine cavity after delivery of the placenta and membranes during caesarean section. Patients were followed up at 6 weeks, 6 months and one-year intervals for any complaints, visibility of threads and for ultrasound examination for position of copper IUCDs in the uterus. Data analysis was done using Microsoft excel 2016. Results: Nearly 48.33% continued intra-caesarean copper IUCDs for more than 1 year. 70% did not have any complaints. 86.67% came for more than one follow-up visit. 47% had copper IUD threads visible by one year. No case of perforation either during insertion or during continuation was noted. None conceived with copper IUCD in situ. Removal of copper IUCD was also easy and none required hysteroscopic removal. Conclusions: Intra-caesarean copper IUCD insertion is a safe and effective long acting reversible contraceptive method in the postpartum period.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Gillella¹,

Kothapally²,

Bhashyakarla³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…In Nepal, the postpartum intrauterine device (PPIUD) is the sole long acting reversible method available in the immediate postpartum period [6]. PPIUD can be used immediately after childbirth, with minimal side effects for up to 10 years [7,8]. However, its uptake in Nepal is lower than in many other countries, which has largely been attributed to societal barriers and a lack of knowledge and skills among health providers [1,9].…”

Section: Introductionmentioning

confidence: 99%

“…A previous study has identi ed female community health volunteers (FCHVs) in Nepal to play a key role in in uencing a woman's decision to choose a PPFP method. It is therefore important that we understand the long-term impact of including this cadre of health worker in PPFP interventions [8].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the long-term impact of Female Community Health Volunteer involvement in a postpartum family planning intervention in Nepal: a mixed-method study at 1 year post-intervention

Dhital¹,

Siwal²,

Pokhrel

et al. 2020

Preprint

View full text Add to dashboard Cite

Background This is a 1-year post-intervention study following an initiative to provide orientation to female community health volunteers (FCHVs) on postpartum family planning (PPFP) in Nepal implemented in December 2018. Despite positive results in the earlier post-intervention study, this study was designed to provide a more long-term perspective on sustainability by assessing the effect at 1-year post-intervention. Methods This mixed-methods study was conducted in January 2020 in Morang district, Nepal. We collected quantitative data from a knowledge assessment of FCHVs who had participated in the intervention on PPFP; data on their community-based counseling coverage and through interviews with postpartum mothers in two selected hospitals. Qualitative data was collected through six key informant interviews with health providers working on PPFP and four focus group discussions with FCHVs involved in the intervention. We performed descriptive and multivariable analyses for quantitative data and thematic analysis for qualitative data. Results of 1-year post-intervention were compared with pre-intervention and earlier evaluation study results. Results In total, 206 FCHVs participated in the 1-year post-intervention knowledge assessment with a 15-fold [adjusted odds ratio (AOR) = 14.9, p < 0.001] increase in knowledge when compared with the pre-intervention phase. A 20-fold increase in knowledge (AOR = 20.4, P < 0.001) had been reported in the post-test conducted immediately after the orientation. The FCHVs counseled 71% of the pregnant women within their communities at 1-year post-intervention. The postpartum mothers in hospitals had 2 times higher odds than in pre-intervention phase of being counseled by FCHVs during their pregnancy at 1-year post-intervention (AOR = 1.9, P = 0.036) as compared to a 3-fold higher odds of being counseled at 2-months post-intervention (AOR = 2.9, P < 0.001). The qualitative findings suggested a positive impression regarding the FCHV's involvement in PPFP counseling in the communities, however, supervision and monitoring over the longer term was identified as a key challenge and may influence sustainability of community-based and hospital-based PPFP services. Conclusion The FCHVs’ knowledge and community-based activities on PPFP remained higher than in the pre-intervention phase. They had however declined when compared to the 2-months post-intervention period. We propose regular supervision and monitoring of the work of the FCHVs in order to sustain progress.

show abstract

“…IUD insertion at the time of CS creates an opportunity to increase access to long-acting reversible contraceptive methods. Conversely, a previous CS scar may deter access to interval insertion of an IUD if a previous CS may result in difficulty with insertion and/or future IUD problems [1] .…”

Section: Introductionmentioning

confidence: 99%

Immediate Postplacental Insertion of Copper Intrauterine Device and Evaluation of Expulsion Rate in Cesarean Section

Abdellah¹,

Elbadry³

et al. 2018

The Medical Journal of Cairo University

View full text Add to dashboard Cite

Background: Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar. Aim of Study:We aimed to evaluate the efficacy, displacement and expulsion rates of immediate post placental insertion of IUD.Patients and Methods: This prospective study was carried out at Obstetrics and Gynecology Department Tanta University Hospital on 60 patients for whom IUD was the chosen contraceptive method.Results: Mean age among 60 patients included in the present study was 25.10 years, as regard postinsertion complications expulsion in 6% of patients, endometritis in 8% and bleeding in 25%, complications occurred after 3 months was in form of expulsion in 2% of patients, bleeding in 4% of patients and PID in 2% and complications occurred after 6 months was in form of expulsion in 4% of patients bleeding in 5% of patients, PID in 4% of patients and pregnancy in 2% of patients. Conclusion:The findings of the present study confirm previous data that immediate postplacental IUD placement is a viable contraceptive option.

show abstract

Insertion of intrauterine devices after cesarean section: a systematic review update

Cited by 32 publications

References 36 publications

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Evaluating the long-term impact of Female Community Health Volunteer involvement in a postpartum family planning intervention in Nepal: a mixed-method study at 1 year post-intervention

Immediate Postplacental Insertion of Copper Intrauterine Device and Evaluation of Expulsion Rate in Cesarean Section

Contact Info

Product

Resources

About