| Autor: |
Kutlucan H; Department of Gynecology and Obstetrics, School of Medicine, Gazi University, Ankara 06500, Turkey., Karabacak RO; Department of Gynecology and Obstetrics, School of Medicine, Gazi University, Ankara 06500, Turkey., De Buyser S; Biostatistics Unit, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium., Erdem A; Department of Gynecology and Obstetrics, School of Medicine, Gazi University, Ankara 06500, Turkey., Bozkurt N; Department of Gynecology and Obstetrics, School of Medicine, Gazi University, Ankara 06500, Turkey., Demirdağ E; Department of Gynecology and Obstetrics, School of Medicine, Gazi University, Ankara 06500, Turkey., Wildemeersch D; Contrel Research ICC Technologiepark 82, 9052 Ghent, Belgium. |
| Abstrakt: |
The primary objective of this study was to assess the novel fixation method of a frameless copper-releasing intrauterine device inserted following placental delivery during cesarean section and analyze its impact in reducing device displacement and expulsion during and after uterine involution. We hypothesized that the dual-anchoring technique could reduce the risk of intrauterine device displacement and expulsion during and after the uterine involution. The study was conducted at the Gazi University Medicine Faculty Hospital in Ankara, Turkey. Twenty-one pregnant women were enrolled. Insertion was performed following placental removal. To confirm the proper placement and good retention of the device, the distance between the fundal serosa (S) and device anchor knot (A) was measured (S-A) during follow-ups, by ultrasound. There were significant differences in the S-A, as observed by ultrasound at discharge and at 6 weeks post-delivery, which is consistent with the tissue contractions associated with uterine involution. Notwithstanding the uterine involution, no device displacements or expulsions occurred, which indicated a good retention of the frameless device. This innovative retention method of the frameless intrauterine device ensures a well-tolerated, long-term contraception, allowing for immediate contraception and proper pregnancy spacing for cesarean scar healing, and overcomes the issue of expulsion encountered with conventional intrauterine systems. |
