Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial
Objective: The current study compares the efficacy of the classic approach and the uterine sounding sparing approach (a new approach) for copper intrauterine device (Cu-IUD) insertion. Study design: A randomized clinical trial. Setting: Woman's Health Hospital, Assiut, Egypt. Materials and meth...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-09-01
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| Series: | Middle East Fertility Society Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110569017301905 |
| _version_ | 1817997594027098112 |
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| author | Mohammed K. Ali Ahmed M. Abbas Osama S. Abdalmageed Tarek A. Farghaly Ali H. Yosef |
| author_facet | Mohammed K. Ali Ahmed M. Abbas Osama S. Abdalmageed Tarek A. Farghaly Ali H. Yosef |
| author_sort | Mohammed K. Ali |
| collection | DOAJ |
| description | Objective: The current study compares the efficacy of the classic approach and the uterine sounding sparing approach (a new approach) for copper intrauterine device (Cu-IUD) insertion. Study design: A randomized clinical trial. Setting: Woman's Health Hospital, Assiut, Egypt. Materials and methods: The current study was an open parallel randomized clinical study conducted in Assiut Woman’s Health Hospital, Egypt included women requesting Copper IUD insertion. Enrolled women were randomized into 2 groups; group I included women subjected to classic approach for Cu-IUD insertion and group II included women had Cu-IUD insertion using the uterine sound-sparing approach (USSA). This approach utilized transvaginal ultrasound (TV/US) for assessment of the uterine cavity length and position before IUD insertion without using uterine sounding. The primary outcome was the successful Cu-IUD insertion. Results: 46 women were analyzed in group I and 46 in group II. The pain during IUD insertion and 5 min post-insertion was significantly lower in group II than group I (p < .001). The Cu-IUD inserted easier in group I than group II (p < .001). Moreover; significant shorter duration of insertion was reported in group II (p = .002). More satisfied women were found in group II (p = .0001). At the 4 weeks follow-up; TV/US showed that all IUDs were in place in all women. Conclusions: Cu-IUD can be inserted successfully without using uterine sound provided using TV/US prior to insertion. This method associated with less pain, greater women satisfaction during insertion with shorter duration. Keywords: Intrauterine device, TV/US, Ultrasound, Contraception, Uterine sound |
| first_indexed | 2024-04-14T02:40:39Z |
| format | Article |
| id | doaj.art-f36941ea55514957a0d8c6ac3832fd25 |
| institution | Directory Open Access Journal |
| issn | 1110-5690 |
| language | English |
| last_indexed | 2024-04-14T02:40:39Z |
| publishDate | 2018-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Middle East Fertility Society Journal |
| spelling | doaj.art-f36941ea55514957a0d8c6ac3832fd252022-12-22T02:17:11ZengSpringerOpenMiddle East Fertility Society Journal1110-56902018-09-01233211215Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trialMohammed K. Ali0Ahmed M. Abbas1Osama S. Abdalmageed2Tarek A. Farghaly3Ali H. Yosef4Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptCorresponding author at: Department of Obstetrics and Gynecology, Assiut University, Women Health Hospital, 71511 Assiut, Egypt.; Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptObjective: The current study compares the efficacy of the classic approach and the uterine sounding sparing approach (a new approach) for copper intrauterine device (Cu-IUD) insertion. Study design: A randomized clinical trial. Setting: Woman's Health Hospital, Assiut, Egypt. Materials and methods: The current study was an open parallel randomized clinical study conducted in Assiut Woman’s Health Hospital, Egypt included women requesting Copper IUD insertion. Enrolled women were randomized into 2 groups; group I included women subjected to classic approach for Cu-IUD insertion and group II included women had Cu-IUD insertion using the uterine sound-sparing approach (USSA). This approach utilized transvaginal ultrasound (TV/US) for assessment of the uterine cavity length and position before IUD insertion without using uterine sounding. The primary outcome was the successful Cu-IUD insertion. Results: 46 women were analyzed in group I and 46 in group II. The pain during IUD insertion and 5 min post-insertion was significantly lower in group II than group I (p < .001). The Cu-IUD inserted easier in group I than group II (p < .001). Moreover; significant shorter duration of insertion was reported in group II (p = .002). More satisfied women were found in group II (p = .0001). At the 4 weeks follow-up; TV/US showed that all IUDs were in place in all women. Conclusions: Cu-IUD can be inserted successfully without using uterine sound provided using TV/US prior to insertion. This method associated with less pain, greater women satisfaction during insertion with shorter duration. Keywords: Intrauterine device, TV/US, Ultrasound, Contraception, Uterine soundhttp://www.sciencedirect.com/science/article/pii/S1110569017301905 |
| spellingShingle | Mohammed K. Ali Ahmed M. Abbas Osama S. Abdalmageed Tarek A. Farghaly Ali H. Yosef Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial Middle East Fertility Society Journal |
| title | Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial |
| title_full | Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial |
| title_fullStr | Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial |
| title_full_unstemmed | Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial |
| title_short | Classic versus uterine sound-sparing approach for insertion of copper T380A intrauterine device: A randomized clinical trial |
| title_sort | classic versus uterine sound sparing approach for insertion of copper t380a intrauterine device a randomized clinical trial |
| url | http://www.sciencedirect.com/science/article/pii/S1110569017301905 |
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