Document Detail


Insertion technique, not design, affects expulsion rates of postpartum intrauterine device.
MedLine Citation:
PMID:  6509985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A Lippes type intrauterine device (IUD) was modified to be used for immediate postpartum insertion. In 114 patients in whom the modified IUD was inserted immediately after delivery, expulsion rates at six months averaged approximately 30%. Expulsion rates were significantly different, at p less than 0.05, for women in whom the IUD was inserted digitally (19.5 +/- 5.6% at 6 months) compared to those in whom it was inserted using surgical forceps (39.6 +/- 7.1%). Furthermore, expulsion rates were higher for inexperienced inserters (p less than 0.01). We conclude that: 1) this modification of an otherwise standard IUD has a continued high expulsion rate, and 2) the technique of insertion has significant impact upon the likelihood of expulsion.
A Lippes loop IUD was modified to be used for immediate postpartum insertion. In 114 patients in whom the modified IUD was inserted immedicately after delivery, expulsion rates at 6 months averaged approximately 30%. Expulsion rates were significantly different at P0.05 for women in whom the IUD was inserted digitally (19.5 +or- 5.6% at 6 months) compared to those in whom it was inserted using surgical forceps (39.6 +or- 7.1%). Furthermore, expulsion rates were higher for inexperienced inserters (P0.01). The authors conclude that: 1) this modification of an otherwise standard IUD has a continued high expulsion rate, and 2) the insertion technique has significant impact on the likelihood of expulsion.
Authors:
P G Stumpf; R M Lenker
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Contraception     Volume:  30     ISSN:  0010-7824     ISO Abbreviation:  Contraception     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1985-01-31     Completed Date:  1985-01-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  327-30     Citation Subset:  IM; J    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Humans
Intrauterine Device Expulsion*
Intrauterine Devices / adverse effects*
Postpartum Period*
Pregnancy
Risk

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


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