Document Detail


IUD--related uterine perforation: an epidemiologic analysis of a rare event using an international dataset.
MedLine Citation:
PMID:  12266198     Owner:  PIP     Status:  MEDLINE    
Abstract/OtherAbstract:
An international dataset of 21,610 IUD insertions revealed 41 uterine perforations occurring at the time of, or subsequent to, insertion. Dat were collected on standard forms. Perforations were classified as confirmed, probable, or possible, based on the clinician's judgement and subsequent management. The uterine perforation rate was estimated as between 1.9 and 3.6/1000 insertions. 13 of the total 41 perforations were reported from 2 of 72 cooperating clinics. In 1 clinic, this center-clustering phenomenon suggested an effect of a high risk device. In the other clinic, the effect of insertor (operator) inexperience was indicated. A case-control analysis delineated previous cesarean section as a host risk factor (P0.05, McNemar's chi square). Further investigation of this association by similar case-control studies is recommended.
Authors:
I Chi; P J Feldblum; S M Rogers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Contraceptive delivery systems     Volume:  5     ISSN:  0143-6112     ISO Abbreviation:  Contracept Deliv Syst     Publication Date:  1984 Apr 
Date Detail:
Created Date:  1984-12-17     Completed Date:  1984-12-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8102096     Medline TA:  Contracept Deliv Syst     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  123-30     Citation Subset:  J    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Biology
Contraception*
Delivery, Obstetric
Diagnosis*
Disease*
Epidemiologic Methods*
Family Planning Services
General Surgery
Genitalia
Genitalia, Female*
Incidence*
Intrauterine Devices*
Intrauterine Devices, Copper
Intrauterine Devices, Medicated
Laboratory Techniques and Procedures*
Obstetric Surgical Procedures
Parity
Physiology
Population Characteristics*
Research*
Research Design*
Statistics as Topic*
Therapeutics
Urogenital System*
Uterine Perforation*
Uterus*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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