Ultrasound Assessment of Post Placental Insertion of (Cupper T380A) Intrauterine Device at Cesarean Section; Two Different Techniques

Abstract

Background: post placental intrauterine device (IUD) insertion is effective, convenient strategy to reduce the risk of rapid repeated pregnancy.

Objectives: To evaluate abnormal uterine bleeding (AUB), infection, loss of threads, displacement, expulsion, and pregnancy on top,  regarding two post placental IUD insertion techniques.

Patients and Methods: Cohort prospective comparative study was conducted on  164 women in the Obstetrics and Gynecology Department, Menoufia University Hospital, during a period time from September 2022 to  December 2022.

Results: Significant differences among the studied two groups regarding IUD displacement (p=0.029), AUB (p=0.001), loss of threads (p=0.036) and IUD expulsion (p<0.001) after 6 weeks of IUD insertion, and a significant difference regarding IUD  displacement and loss of threads after 3 months of IUD insertion (P<0.05).

Conclusions: Because the new approach is linked to a  decreased frequency of IUD displacement and non-visibility of IUD threads, it may become the standard procedure for intra-cesarean  section IUD insertion.