Postplacental IUD Insertion Using Ring Forceps versus Push and Push Technique

Abstract

Objective: To compare IUD-endometrium (ED) distance and the incident
 of malposition postplacental CuT-380A IUD insertion in vaginal
 delivery between ring forceps technique and push and push
 technique.
 Method: This study was a double-blind randomized control trial,
 performed in September 2014 until March 2015 at Dr. Kariadi Hospital.
 Ring forceps and push and push insertion technique groups
 consisted of 25 subjects in each group. Follow-up was performed at
 1-2 weeks, 6-8 weeks and >12 weeks after insertion.
 Result: The mean of IUD-ED distance in push and push group was
 shorter (but not statistically significant) than ring forceps group. The
 IUD-ED distance was at 1-2-week follow-up 4.1 (2.2) vs. 4.9 (3.4)
 mm; p=0.208, at 6-8-week follow-up: 2.6 (1.8) vs. 3.2 (3.7) mm;
 p=0.452, and at > 12-week follow-up: 0.9 (0.8) vs. 1.0 (0.9) mm;
 p=0.427, respectively. Malposition was found in 1-2-week follow-up,
 but the IUD was changed to the normal position (sagital position in
 uterine fundus) at 6-8-week and >12-week follow-up. Up to 3
 months of follow-up, there was no occurrence of perforation, expulsion
 or pregnancy in both groups. Most of subjects (56% in the
 ring forceps, 68% in push and push groups) did not feel painful during
 IUD insertion.
 Conclusion: Push and push insertion technique clinically tends to
 produce IUD-ED distance shorter than ring forceps technique. Both
 techniques are comfortable, safe and effective.
 [Indones J Obstet Gynecol 2016; 4-2: 78-87]
 Keywords: immediate postplacental IUD insertion technique, IUDendometrium
 distance, IUD malposition, push and push technique,
 ring forceps technique