Comparative study between Immediate Insertion of Intrauterine Device and 6 Weeks Post Caesarean Section

Document Type : Original Article

Authors

Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446612

Abstract

Background: Ovulation is extremely unpredictable for women who aren't breastfeeding and for women who aren't exclusively breastfeeding, making the postpartum period a particularly risky time for unintended pregnancies because of the lack of effective contraception options, particularly for women who are breastfeeding.
Aim and objectives: To compare the insertion of an intrauterine device (IUD) intra-operatively and the insertion of IUD post-puerperium (after 6 weeks) according to compliance pain during insertion, missed threads, and effectiveness.
Subjects and methods: One hundred pregnant women who had CS and were seeking a method of birth control that did not involve the use of an intrauterine device (IUD) were the subjects of this randomized controlled trial that ran from September 2022 through September 2023 at Qena General Hospital and El-wakf Hospital
Results: According to IUD status, in Group-A; 16.0% of them were Expulsed and 84.0% were Retained, while the Group-B; 8.0% of them were Expulsed and 92.0% were Retained, and this was statistically insignificant. In Group-A; 12.0% of them were partial expulsion and 4.0% were complete expulsion, while the Group-B; 6.0% of them were Partial expulsion and 2.0% were complete expulsion, and this was statistically insignificant.
Conclusion: Both methods were generally safe and effective for IUD insertion, in intra-operative insertion there was no pain but there was high rate of missed threads and in post operative insertion (after 6-weeks) there was some pain with less rate of missed threads, so its easily removed, with highly statistically significant increase in continuation rate among post operative insertion than intra operative insertion.

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