Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births?
Aim: To determine the difference between the postplacental insertion of intrauterine device (IUD) in women with vaginal and cesarean delivery. Methods: This study included 142 women who gave birth between 38 to 42 weeks of pregnancy. Group 1 had elective cesarean delivery (n=79) and, group 2 had va...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2018-04-01
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| Series: | Haseki Tıp Bülteni |
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| Online Access: | http://www.hasekidergisi.com/archives/archive-detail/article-preview/postpartum-ntrauterine-device-nsertion-s-there-any/16949 |
| _version_ | 1797923112604401664 |
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| author | Lebriz Hale Aktün Nilay Karaca Yaşam Kemal Akpak |
| author_facet | Lebriz Hale Aktün Nilay Karaca Yaşam Kemal Akpak |
| author_sort | Lebriz Hale Aktün |
| collection | DOAJ |
| description | Aim: To determine the difference between the postplacental insertion of intrauterine device (IUD) in women with vaginal and cesarean delivery.
Methods: This study included 142 women who gave birth between 38 to 42 weeks of pregnancy. Group 1 had elective cesarean delivery (n=79) and, group 2 had vaginal delivery (n=63). IUD was placed in the uterine fundus within 10 minutes of placental delivery. The subjects were examined at the 1st week, 6th week, 6th month, 12th month postpartum. Age, gravida, parity, type of delivery, number of previous vaginal deliveries, and previous IUD use were evaluated.
Results: Parity and maternal age were similar between the groups. The number of patients giving at least one vaginal delivery in group 1 was higher than in group 2 (p<0.01). The rate of IUD expulsion was similar between the groups. IUD expulsion occurred within the first six weeks in more than 50% of patients in both groups. Cumulative IUD removal rate was found to be 7.2%. Removal rates were similar between the groups (p>0.05). There was a 2.1-fold increase (95% confidence interval;1.03-4.37) in the risk of cumulative withdrawal one year after insertion in multiparous women.
Conclusion: Postpartum IUD insertion may be promising as a safe and effective method of family planning. In spite of the fact that the expulsion rates were higher than in previous studies, the experience of the practitioners probably increased further. Parity is the most important risk factor for IUD expulsion, rather than the way of birth. |
| first_indexed | 2024-04-10T14:43:02Z |
| format | Article |
| id | doaj.art-d1e162b070254fdf96dfe7314d904cba |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T14:43:02Z |
| publishDate | 2018-04-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-d1e162b070254fdf96dfe7314d904cba2023-02-15T16:08:07ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882018-04-01561374110.4274/haseki.93695Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births?Lebriz Hale Aktün0Nilay Karaca1Yaşam Kemal Akpak2Medipol Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, TürkiyeMedicalpark Gaziosmanpaşa Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, TürkiyeAim: To determine the difference between the postplacental insertion of intrauterine device (IUD) in women with vaginal and cesarean delivery. Methods: This study included 142 women who gave birth between 38 to 42 weeks of pregnancy. Group 1 had elective cesarean delivery (n=79) and, group 2 had vaginal delivery (n=63). IUD was placed in the uterine fundus within 10 minutes of placental delivery. The subjects were examined at the 1st week, 6th week, 6th month, 12th month postpartum. Age, gravida, parity, type of delivery, number of previous vaginal deliveries, and previous IUD use were evaluated. Results: Parity and maternal age were similar between the groups. The number of patients giving at least one vaginal delivery in group 1 was higher than in group 2 (p<0.01). The rate of IUD expulsion was similar between the groups. IUD expulsion occurred within the first six weeks in more than 50% of patients in both groups. Cumulative IUD removal rate was found to be 7.2%. Removal rates were similar between the groups (p>0.05). There was a 2.1-fold increase (95% confidence interval;1.03-4.37) in the risk of cumulative withdrawal one year after insertion in multiparous women. Conclusion: Postpartum IUD insertion may be promising as a safe and effective method of family planning. In spite of the fact that the expulsion rates were higher than in previous studies, the experience of the practitioners probably increased further. Parity is the most important risk factor for IUD expulsion, rather than the way of birth.http://www.hasekidergisi.com/archives/archive-detail/article-preview/postpartum-ntrauterine-device-nsertion-s-there-any/16949Intrauterine devicepostpartum insersionexpulsion rate |
| spellingShingle | Lebriz Hale Aktün Nilay Karaca Yaşam Kemal Akpak Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? Haseki Tıp Bülteni Intrauterine device postpartum insersion expulsion rate |
| title | Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? |
| title_full | Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? |
| title_fullStr | Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? |
| title_full_unstemmed | Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? |
| title_short | Postpartum Intrauterine Device Insertion: Is There Any Difference Between Vaginal and Cesarean Births? |
| title_sort | postpartum intrauterine device insertion is there any difference between vaginal and cesarean births |
| topic | Intrauterine device postpartum insersion expulsion rate |
| url | http://www.hasekidergisi.com/archives/archive-detail/article-preview/postpartum-ntrauterine-device-nsertion-s-there-any/16949 |
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