Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum
| Autor: | Amy G. Bryant, Matthew L. Zerden, Joanne M. Garrett, Erika E. Levi, Gretchen S. Stuart |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Population Intrauterine device law.invention Young Adult Randomized controlled trial Pregnancy law Humans Medicine Prospective Studies education reproductive and urinary physiology Gynecology education.field_of_study Cesarean Section business.industry Postpartum Period Obstetrics and Gynecology Middle Aged medicine.disease Confidence interval Family planning Relative risk Female business Postpartum period Follow-Up Studies Intrauterine Devices |
| Zdroj: | Obstetrics & Gynecology. 126:5-11 |
| ISSN: | 0029-7844 |
| Popis: | OBJECTIVE: To compare intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean delivery (during cesarean delivery) IUD placement compared with women who planned for interval IUD placement 6 or more weeks postpartum. METHODS: In this nonblinded randomized trial women who were undergoing a cesarean delivery and desired an IUD were randomized to intracesarean delivery or interval IUD placement. The primary outcome was IUD use at 6 months postpartum. A sample size of 112 (56 in each group) was planned to detect a 15% difference in IUD use at 6 months postpartum between groups. RESULTS: From March 2012 to June 2014 172 women were screened and 112 women were randomized into the trial. Baseline characteristics were similar between groups. Data regarding IUD use at 6 months postpartum were available for 98 women 48 and 50 women in the intracesarean delivery and interval groups respectively. A larger proportion of the women in the intracesarean delivery group were using an IUD at 6 months postpartum (40/48 [83%]) compared with those in the interval group (32/50 [64%] relative risk 1.3 95% confidence interval 1.02-1.66). Among the 56 women randomized to interval IUD insertion 22 (39%) of them never received an IUD; 14 (25%) never returned for IUD placement five (9%) women declined an IUD and three (5%) had a failed IUD placement. CONCLUSION: Intrauterine device placement at the time of cesarean delivery leads to a higher proportion of IUD use at 6 months postpartum when compared with interval IUD placement. |
| Databáze: | OpenAIRE |
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