| Autor: |
Yomna A, Bayoumi, Dina M R, Dakhly, Yasmin A, Bassiouny, Hisham M, Gouda, Mohamed A, Hassan, Ayman A, Hassan |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
The European journal of contraceptionreproductive health care : the official journal of the European Society of Contraception. 25(6) |
| ISSN: |
1473-0782 |
| Popis: |
The aim of the study was to compare 6 month expulsion rates of the copper-bearing intrauterine device (IUD) inserted after delivery of the placenta or at the 6 week postpartum visit in women undergoing caesarean section.A parallel-group randomised trial was conducted in an Egyptian university hospital between February 2016 and December 2018. Participants were randomised to either post-placental IUD insertion or IUD insertion at the 6 week postpartum visit. Participants were followed for 12 months. Primary outcomes were IUD expulsion and the proportion of women using an IUD at 6 months. A secondary outcome was the cumulative pregnancy rate at 12 months.Five hundred participants were enrolled in each group. At 6 months the total expulsions were 58/416 (13.9%) in the post-placental group and 4/214 (1.9%) in the puerperal group; IUD use at 6 months was 416/478 (87.0%) in the post-placental group and 214/232 (92.2%) in the puerperal group. Data collected by phone at 12 months showed a higher cumulative pregnancy rate in the puerperal group (84/500, 16.8%) vs the post-placental group (22/500, 4.4%). IUD continuation at 12 months was higher in the post-placental group.Participants in the post-placental group had a higher expulsion rate at 6 months, but more IUDs were placed in this group and fewer pregnancies had occurred at 12 months compared with the puerperal group.Clinicaltrials.gov NCT02679820. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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