Abstract:
BACKGROUND:The purpose of this pilot project was to test the feasibility of a technique designed to place a copper intrauterine device (IUD) through the hysterotomy incision of an elective cesarean delivery to minimize possible contamination and to guarantee that tailstrings were visible in the vagina for easy removal should complications occur. STUDY DESIGN:Women were monitored in the hospital for signs of infection or excessive blood loss. At the time of hospital discharge and at 2 and 6 weeks postpartum, they were examined to determine the status of the tailstrings. The position of the IUD was assessed by ultrasound at week 6. RESULTS:All seven of the subjects had successful placement. The sutures tied to the IUD strings were visible on vaginal examination in each case. The original tailstrings were visible in the vagina at 6 weeks and each IUD was fundally positioned. CONCLUSION:Successful intraoperative placement of Copper T-380A IUDs through incision at the time of cesarean birth is possible.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Nelson AL,Chen S,Eden Rdoi
10.1016/j.contraception.2009.01.014subject
Has Abstractpub_date
2009-07-01 00:00:00pages
81-3issue
1eissn
0010-7824issn
1879-0518pii
S0010-7824(09)00035-3journal_volume
80pub_type
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