Intraoperative placement of the Copper T-380 intrauterine devices in women undergoing elective cesarean delivery: a pilot study.

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

Contraception

journal_title

Contraception

authors

Nelson AL,Chen S,Eden R

doi

10.1016/j.contraception.2009.01.014

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

81-3

issue

1

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(09)00035-3

journal_volume

80

pub_type

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