Insertion of Intrauterine Contraceptive Device at Cesarean Section: Randomized Clinical Trial

Abstract

Abstract Background Postpartum period is highly vulnerable period to unintended pregnancy as there are limited contraceptive options available in the breast feeding women. At the same time ovulation is highly unpredictable in non breast feeding or non exclusive breast feeding women. an ideal time to begin contraception, as women are highly motivated to adopt contraception at this time, which also has the advantages of being convenient for both women and health care providers. Objective To evaluate and compare the efficacy of IUD (Pregna T Cu 380A) insertion at cesarean section and after puerperium in terms of expulsion rate, pain and amount of bleeding. Patients and Methods This study is a randomized Clinical Trial that was conducted at Ain Shams University Maternity Hospital during the period from December 2017 to May 2018. The study was approved by institute ethics committee of Ain Shams University Hospitals. Results There were no statistical significant differences in the rates of wound infection, postoperative pain, volume of bleeding, signs of infection, additional analgesic needs, dyspareunia and number of days till bleeding stops between both groups. There was no statistical significant between both groups as regard expulsion of IUD in the present study. Conclusion IUD is a contraceptive device which is commonly inserted after puerperium. This study will focus on insertion IUD during cesarean section.