Document Detail


The LEM device in an immediate postpartum contraception program.
MedLine Citation:
PMID:  1278454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Experience with the LEM intrauterine device in an immediate postpartum program at the Jose Fabella Memorial Hospital, Manila, Philippines, is reported. During a 6-month period, the LEM was inserted in 1359 women immediately after normal term deliveries. The early expulsion rate was high, but removals for bleeding or pain were minimal. Pregnancy rates during the second 6 months of use were higher than those reported previously for postpartum insertions of the LEM device.
Experience with the LEm IUD in an immediate postpartum program is reported. During a 6-month period in 1973, the LEM device was inserted in 1359 patients immediately after term delivery. The LEM is made of polyethylene, impregnated with 20% barium sulfate. When inserted through a plastic tube it is a 2-dimensional device in the shape of a Gothic X. When the uterus involutes, the LEM becomes 3-dimensional. A double string is attached. At the end of 1 year, the gross pregnancy rate was 6.4%. This rate was greatest in the second 6 months of use. In 19 of the 25 cases of pregnancy the device was in place. In 1 case a stillbirth resulted at term. In 3 others spontaneous abortion had occurred and in 1 other abortion followed removal of the device by a physician. In 1 year, the gross expulsion rate was 20.6% of users, mostly during the first 6 months. Expulsions represented 76.2% of terminations of use. Removals for bleeding or pain were only 2.2%. In 1 case perforation of the uterine wall had occurred. After a Pomeroy procedure was done, this LEM was removed through the cervical os. The LEM IUD appears to be less effective than desired in pregnancy prevention. Design modifications are planned.
Authors:
R Apelo; R Ramos; M Thomas
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Fertility and sterility     Volume:  27     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1976 May 
Date Detail:
Created Date:  1976-08-23     Completed Date:  1976-08-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  517-22     Citation Subset:  IM; J    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Intrauterine Device Expulsion
Intrauterine Devices* / adverse effects
Middle Aged
Postnatal Care*
Pregnancy
Uterine Hemorrhage / etiology

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


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