Postpartum insertion of levonorgestrel–intrauterine system at three time periods: a prospective randomized pilot study

Dahlke, Joshua D.; Terpstra, Eric R.; Ramseyer, Abigail M; Busch, Jeanne M.; Rieg, Thomas S.; Magann, Everett F.

doi:10.1016/j.contraception.2011.01.007

Cited by 60 publications

(42 citation statements)

References 12 publications

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“…Majority of women in post placental insertion group express mild discomfort and took the procedure as a part of delivery procedure, whereas insertion within 48hrs of delivery was comparatively more painful. Dahlke et al 10 also reported similar findings.…”

Section: Acceptabilitysupporting

confidence: 75%

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Gutgutia

Rani

Prateek

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Section: Acceptabilitysupporting

confidence: 75%

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Gutgutia

Rani

Prateek

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…1 Cole et al and Brenner PF et al reported lower expulsion rates after post placental IUCD insertion as compared to early post-partum insertion and attributed this to easy and high fundal placement of IUD. 14,16 However, Dahlke et al reported higher expulsions in post placental insertions. 15 Higher expulsions in early post-partum insertions may be due to anatomical considerations.…”

Section: Timing Of Insertionmentioning

confidence: 99%

A study to evaluate and compare the expulsion and continuation rates of post placental insertion of Cu 375 and CuT 380A in Indian women at a premier hospital in New Delhi, India

Kumar¹,

Kumar

Aggarwal

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: The Study was planned to evaluate and compare the expulsion and continuation rates of post placental insertion of Cu 375 and CuT380A in Indian women at Safdarjung Hospital New Delhi, after approval was obtained from Institutional Ethical committee.Methods: Study group consisted of 300 women, divided into two groups: Group A and Group B. The data was analysed by using ‘student “t” test/ non-parametric ‘Wilcoxon Mann Whitney’ for quantitative variables to evaluate the safety, efficacy and acceptability.Results: Mean age was 24.99 years (range: 19-35years), All women were married (off which 64% literate) and Mean parity in group A was 1.97 and 2.06 in group B. Mean pain score during intrauterine contraceptive device (IUCD) insertion on visual analogue scale was 2.93 in group A and 3 in group B and was not statistically different. 84% women completed 12 months follow up in group A and 83.33% women in group B. Strings were visible in 74% women in group A and in 34% women in group B at 1 month of IUCD insertion. Visibility of strings increased in successive follow up visits and was visible in >80% of women at the end of one year in the both groups. String visibility after intra-Caesarean insertion was delayed. Fifty one percent (n=77) subjects in group A and 54% (n=81) in group B experienced amenorrhea up to six months. Menorrhagia was reported in 7.33% in group A and women 8.66% in group B at the end of 1 year of follow up. Pain was complained by 26 out of 150 (17.3%) women in group A as compared to 36 out of 150 (24%) women in group B after 1 month of insertion. There was no case of PID in group A whereas there were 3 cases of PID in group B. There was no perforation/trauma and pregnancy in either group.Conclusions: Overall expulsion rate was 13% and removal rate was 5% in our study. Continuation rate was 83.3% in Cu 375 and 80.6% in CuT380A at 12 months. There was no significant difference between the IUCDs regarding the safety, efficacy and complications such as expulsion, bleeding etc.

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“…In a small study investigating postpartum insertion immediately (within 10 minutes of placenta delivery), early (10 min to 48 hours postpartum), or interval (≥6 weeks postpartum), there was no difference in utilization rates between groups at 3 and 6 months postpartum. 26 Another study echoed these results, finding that use of the levonorgestrel-releasing IUC at 6 months postpartum was not different between women who received postplacental or delayed insertion. 30 These findings come despite the higher expulsion rates with post-placental…”

mentioning

confidence: 67%

“…insertion, which vary from 10-27%, 26,28,31 and even 38% in one study, 10 compared with 1-6% at one year with interval insertion. 26,30 With close clinical followup (2 weeks postpartum suggested by one author 26 ) and early identification of expulsions so that reinsertion can occur, overall continuation/utilization rates at 3 and 6 months may not be impacted.…”

Section: Postpartum Contraceptionmentioning

confidence: 99%

See 1 more Smart Citation

A select issue in the postpartum period: contraception

Cowman¹,

Hardy-Fairbanks

Endres

et al. 2012

Proc Obstet Gynecol

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Postpartum insertion of levonorgestrel–intrauterine system at three time periods: a prospective randomized pilot study

Cited by 60 publications

References 12 publications

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

A study to evaluate and compare the expulsion and continuation rates of post placental insertion of Cu 375 and CuT 380A in Indian women at a premier hospital in New Delhi, India

A select issue in the postpartum period: contraception

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