Document Detail


Postpartum insertion of levonorgestrel-intrauterine system at three time periods: a prospective randomized pilot study.
MedLine Citation:
PMID:  21843688     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: The study was conducted to determine the feasibility of levonorgestrel-intrauterine system (LNG-IUS) insertion at three different times postpartum.
STUDY DESIGN: From August 2009 to January 2010, all women desiring LNG-IUS for postpartum contraception were offered enrollment into our study and randomized to three insertion times: immediate (within 10 min of placenta delivery), early (10 min to 48 h postpartum) or interval (≥6 weeks postpartum).
RESULTS: Forty-six women met inclusion criteria and were analyzed. There was no difference in utilization rates at 3 and 6 months between groups (p=.931). Expulsion rates were significantly higher and pain during insertion was significantly lower in the immediate and early groups (p<.001) when compared to the interval group.
CONCLUSION: Insertion of LNG-IUS ≤48 h postpartum is feasible in our institution and may be associated with similar utilization at 6 months, increased expulsion rates and decreased pain at insertion when compared to placement after 6 weeks.
Authors:
Joshua D Dahlke; Eric R Terpstra; Abigail M Ramseyer; Jeanne M Busch; Thomas Rieg; Everett F Magann
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Publication Detail:
Type:  Journal Article     Date:  2011-02-24
Journal Detail:
Title:  Contraception     Volume:  84     ISSN:  1879-0518     ISO Abbreviation:  Contraception     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  United States    
Other Details:
Languages:  eng     Pagination:  244-8     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Department of Obstetrics and Gynecology, The Naval Medical Center Portsmouth, VA 23708, USA.
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